Advanced Health Chiropractic, Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2006012466 Issued in MO

Legal business name

ADVANCED HEALTH CHIROPRACTIC, INC

Practice address

244 E US Highway 69
#202
Kansas City, MO 64119-3115

Phone

(816) 453-1198

Fax

(816) 479-2933

NPI assigned

Aug 13, 2006

Organization subpart

No

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

Authorized official

Name

Cheryl L Golladay, DCNPI 1891729489

Title

President

Phone

(816) 453-1198

Specialties & licenses 1

Addresses

Other names 1

• Claycomo Chiropractic Center Doing business as

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cheryl Louise Golladay, D.C.

  • Chiropractor
  • Kansas City, MO
  • NPI 1891729489

  MO

  Medicare reassignment Care Compare group Authorized official
• Noelle Petit Van Meter, B.S., D.C.

  • Chiropractor
  • Kansas City, MO
  • NPI 1023297488

  MO

  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311033600000",
    "number": "1922011055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "244 E US HIGHWAY 69",
            "address_2": "#202",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641193115",
            "telephone_number": "816-453-1198",
            "fax_number": "816-479-2933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "244 E US HIGHWAY 69",
            "address_2": "#202",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641193115",
            "telephone_number": "816-453-1198",
            "fax_number": "816-479-2933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED HEALTH CHIROPRACTIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-13",
        "last_updated": "2011-07-19",
        "status": "A",
        "authorized_official_last_name": "GOLLADAY",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "816-453-1198",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2006012466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Claycomo Chiropractic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Samantha Adrian
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• Adult Life Care Center LLC
• Advanced Chiropractic Health
• Advanced Dental Arts, LLC
• Advanced Health Solutions LLC
• Advanced Orthopedics and Sports Medicine
• Advanced Physical Therapy and Sports Rehabilitation, P.a.
• Advanced Physical Therapy and Sports Rehabilitation, P.a.
• Advanced PT LLC

• All providers in Kansas City, MO
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2011; 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.

Verify at the official NPI Registry.