Organization Active NPI

Mid-America Family Chiropractic, LLC

  • Chiropractor
  • Lawrence, KS
National Provider Identifier
1871615575
Registry record updated Feb 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
01-05097 Issued in KS
Legal business name
MID-AMERICA FAMILY CHIROPRACTIC, LLC
Practice address
3115 W 6TH St
Suite K
Lawrence, KS 66049-3101
Phone
(785) 856-6430
Fax
(785) 856-6434
NPI assigned
Apr 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2008

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

Authorized official

Name
Dr. Mark Eugene Walters, D.C.NPI 1699894030
Title
Owner
Phone
(785) 856-6430

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 01-05097 KS Primary

Addresses

Primary practice location

3115 W 6TH St
Suite K
Lawrence, KS 66049-3101

Mailing address

3115 W 6TH St
Suite K
Lawrence, KS 66049-3101
Phone (785) 856-6430

National Provider Directory

National Provider Directory

Locations

3115 W 6th St
Ste K
Lawrence, KS 66049
Phone (785) 356-6430

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": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204243200000",
    "number": "1871615575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3115 W 6TH ST",
            "address_2": "SUITE K",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660493101",
            "telephone_number": "785-856-6430",
            "fax_number": "785-856-6434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3115 W 6TH ST",
            "address_2": "SUITE K",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660493101",
            "telephone_number": "785-856-6430",
            "fax_number": "785-856-6434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-AMERICA FAMILY CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2008-02-29",
        "status": "A",
        "authorized_official_last_name": "WALTERS",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "785-856-6430",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "01-05097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2008; 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.