Active NPI
Cheryl Louise Golladay, D.C.
- Chiropractor
- Kansas City, MO
National Provider Identifier
1891729489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2006012466
- Practice address
- 307 E US Highway 69
Kansas City, MO 64119-3116 - Phone
- (816) 455-3119
- Fax
- (816) 453-0381
- NPI assigned
- Jul 10, 2006
- 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 | 2006012466 | MO | Primary |
Addresses
Primary practice location
307 E US Highway 69
Kansas City, MO 64119-3116
Mailing address
307 E US Highway 69
Kansas City, MO 64119-3116
Phone (816) 453-1198
Other names 1
- Cheryl Louise Pauls
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060830000149 | MO | Practitioner - Chiropractic | 4183628456 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Cleveland Chiropractic College - Kansas City, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Advanced Health Chiropractic, Inc
Practice addresses (Care Compare)
244 E US Hwy 69
Suite 202
Kansas City, MO 64119-3163
244 E US Hwy 69 202
Kansas City, MO 64119-3163
307 E US Hwy 69
Kansas City, MO 64119-3116
Phone (816) 453-1198
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670198400000",
"number": "1891729489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "307 E US HIGHWAY 69",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641193116",
"telephone_number": "816-453-1198",
"fax_number": "816-453-0381"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "307 E US HIGHWAY 69",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641193116",
"telephone_number": "816-455-3119",
"fax_number": "816-453-0381"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLLADAY",
"first_name": "CHERYL",
"middle_name": "LOUISE",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-10",
"last_updated": "2022-12-05",
"certification_date": "2022-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MO",
"license": "2006012466",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CHERYL",
"last_name": "PAULS",
"middle_name": "LOUISE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Kansas City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.