Brake Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

01-05351 Issued in KS

Legal business name

BRAKE CHIROPRACTIC LLC

Practice address

3120 Mesa Way
Suite a
Lawrence, KS 66049-4200

Phone

(785) 842-7325

Fax

(785) 842-7329

NPI assigned

Jan 11, 2011

Last updated

Jan 11, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Dustin Jacob Brake, D.C.NPI 1265742258

Title

Chiropractor

Phone

(785) 218-8539

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Dustin Jacob Brake, D.C.

  • Chiropractor
  • Lawrence, KS
  • NPI 1265742258
  NPD (past) Authorized official

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

{
    "created_epoch": "1294704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294704000000",
    "number": "1811292568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 WAKARUSA DR",
            "address_2": "APT G6",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660473353",
            "telephone_number": "785-218-8539",
            "fax_number": "785-842-7329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3120 MESA WAY",
            "address_2": "SUITE A",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660494200",
            "telephone_number": "785-842-7325",
            "fax_number": "785-842-7329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAKE CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-11",
        "last_updated": "2011-01-11",
        "status": "A",
        "authorized_official_last_name": "BRAKE",
        "authorized_official_first_name": "DUSTIN",
        "authorized_official_middle_name": "JACOB",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "785-218-8539",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "01-05351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maren Bradley, PHARMD, RPH
• Mira Bradley, PHARM.D.
• James T Brady, DC
• Lindsay Brady, PTA
• Melissa Brady
• Dustin Jacob Brake, D.C.
• Cynthia A Brandau, APRN
• Katie Lauren Brandau, LSCSW
• William Brandenberger, M.D.
• Richard Scott Brandl, PTA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2011; 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.