Organization Active NPI

Klancee J Willis DC, PA

  • Chiropractor
  • Leawood, KS
National Provider Identifier
1801006101
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
01-05108 Issued in KS
Legal business name
KLANCEE J WILLIS DC, PA
Practice address
13010 State Line Rd
Leawood, KS 66209-1756
Phone
(913) 696-9980
NPI assigned
May 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Klancee Jean Willis, DCNPI 1700095619
Title
President
Phone
(816) 214-5122

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 01-05108 KS Primary

Addresses

Primary practice location

13010 State Line Rd
Leawood, KS 66209-1756

Mailing address

13010 State Line Rd
Leawood, KS 66209-1756
Phone (913) 696-9980

National Provider Directory

National Provider Directory

Locations

13010 State Line Rd
Leawood, KS 66209
Phone (913) 338-0907

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801006101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13010 STATE LINE RD",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662091756",
            "telephone_number": "913-696-9980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13010 STATE LINE RD",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662091756",
            "telephone_number": "913-696-9980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KLANCEE J WILLIS DC, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILLIS",
        "authorized_official_first_name": "KLANCEE",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "816-214-5122",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "01-05108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leawood, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.