Individual provider Active NPI

Cheryl Louise Golladay, D.C.

  • Chiropractor
  • Kansas City, MO
National Provider Identifier
1891729489
Registry record updated Dec 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2006012466 Issued in MO
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

Updated by the provider on Dec 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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, IncGroup PAC ID 0648274910, 2 clinicians

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.

Verify at the official NPI Registry.