Individual provider Active NPI

Ike Woodroof, D.C.

  • Chiropractor
  • Olathe, KS
National Provider Identifier
1922453604
Registry record updated Dec 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
01-05791 Issued in KS
Practice address
1463 E 151St St
Olathe, KS 66062-2854
Phone
(913) 735-6351
Fax
(913) 490-2898
NPI assigned
Apr 29, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 01-05791 KS Primary

Addresses

Primary practice location

1463 E 151St St
Olathe, KS 66062-2854

Mailing address

1463 E 151St St
Olathe, KS 66062-2854
Phone (913) 735-6351

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160706001735 KS Practitioner - Chiropractic 3274825633 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1463 E 151St St
Olathe, KS 66062-2854
Phone (913) 735-6351

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
01-05791KSMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Woodroof Chiropractic and Acupuncture LLC Chiropractor CurrentSince Jun 20, 2016 Accepting new patients

Locations

1463 E 151st St
Olathe, KS 66062
Phone (913) 276-4173

1497 E 151st St
Olathe, KS 66062
Phone (913) 276-4173

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": "1461888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702252800000",
    "number": "1922453604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1463 E 151ST ST",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660622854",
            "telephone_number": "913-735-6351",
            "fax_number": "913-490-2898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1463 E 151ST ST",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660622854",
            "telephone_number": "913-735-6351",
            "fax_number": "913-490-2898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODROOF",
        "first_name": "IKE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-29",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "01-05791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olathe, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2023; 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.