Organization Active NPI

Neuroedge Chiropractic LLC

  • Chiropractor
  • Leawood, KS
National Provider Identifier
1871205468
Registry record updated Dec 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
NEUROEDGE CHIROPRACTIC LLC
Practice address
12100 State Line Rd
Leawood, KS 66209-1201
Phone
(913) 345-9888
Fax
(913) 345-0958
NPI assigned
Dec 15, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2022

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

Authorized official

Name
Andrew D Maloy, DC
Title
Owner
Phone
(913) 345-9888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

12100 State Line Rd
Leawood, KS 66209-1201

Mailing address

11806 W 51St St
Shawnee, KS 66203-1402
Phone (573) 808-0370

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL neuroedgechiro.maloy@gmail.com

National Provider Directory

National Provider Directory

Locations

12100 State Line Rd
Leawood, KS 66209
Phone (316) 882-5353

13100 W 95th St
Ste 3A
Lenexa, KS 66215
Phone (913) 415-7704

NPI Registry JSON

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

{
    "created_epoch": "1671062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671062400000",
    "number": "1871205468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11806 W 51ST ST",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662031402",
            "telephone_number": "573-808-0370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12100 STATE LINE RD",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662091201",
            "telephone_number": "913-345-9888",
            "fax_number": "913-345-0958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROEDGE CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-15",
        "last_updated": "2022-12-15",
        "certification_date": "2022-12-15",
        "status": "A",
        "authorized_official_last_name": "MALOY",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "913-345-9888",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "neuroedgechiro.maloy@gmail.com",
            "affiliation": "N",
            "address_1": "12100 State Line Rd",
            "city": "Leawood",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662091201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Dec 15, 2022; 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.