Active NPI
Mikell Adams, D.C.
- Chiropractor
- Lawrence, KS
National Provider Identifier
1891715579
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 01-04118
- Practice address
- 1201 Wakarusa Dr
Ste A1
Lawrence, KS 66049-4722 - Phone
- (785) 838-9000
- Fax
- (785) 838-4177
- NPI assigned
- Jul 19, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 01-04118 | KS | Primary |
Addresses
Primary practice location
1201 Wakarusa Dr
Ste A1
Lawrence, KS 66049-4722
Mailing address
1201 Wakarusa Dr
Ste A1
Lawrence, KS 66049-4722
Phone (785) 838-9000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040311000626 | KS | Practitioner - Chiropractic | 6103715966 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04118 | KS | MD | Professional Counselor |
| 01-04118 | KS | MD | Chiropractor |
Organizations & group practices 1
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.
-
- Chiropractor
- Lawrence, KS
- NPI 1013287911
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1891715579",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1201 WAKARUSA DR",
"address_2": "STE A1",
"city": "LAWRENCE",
"state": "KS",
"postal_code": "660494722",
"telephone_number": "785-838-9000",
"fax_number": "785-838-4177"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 WAKARUSA DR",
"address_2": "STE A1",
"city": "LAWRENCE",
"state": "KS",
"postal_code": "660494722",
"telephone_number": "785-838-9000",
"fax_number": "785-838-4177"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADAMS",
"first_name": "MIKELL",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "KS",
"license": "01-04118",
"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 Jul 8, 2007; 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.