Alejandro Gonzalez, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

01-05544 Issued in KS

Practice address

12480 W 62ND Ter
Suite 103
Shawnee, KS 66216-1809

Phone

(913) 962-4500

Fax

(913) 962-4501

NPI assigned

May 15, 2013

Last updated

May 15, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Gonzalez Chiropractic LLC

  • Chiropractor
  • Shawnee, KS
  • NPI 1144667569
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1368576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368576000000",
    "number": "1801232061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12480 W 62ND TER",
            "address_2": "SUITE 103",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662161809",
            "telephone_number": "913-962-4500",
            "fax_number": "913-962-4501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12480 W 62ND TER",
            "address_2": "SUITE 103",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662161809",
            "telephone_number": "913-962-4500",
            "fax_number": "913-962-4501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "ALEJANDRO",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-05-15",
        "last_updated": "2013-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "01-05544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meredith R Gianforte, DC
• Jordan Gilmore
• Golden Hearts Home Care LLC
• Golden Oaks, LLC
• Gonzalez Chiropractic LLC
• Courtney Goodrum
• Leslie Goodwin
• Celeste Amari Gordon
• Claire Gordon
• Louise K. Gordon, PH.D.

• Chiropractor in Shawnee, KS
• Providers in Shawnee, KS by specialty
• Chiropractor in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.