Organization Active NPI

Grabouski Chiropractic and Wellness Center LLC

  • Health Service Clinic/Center
  • Overland Park, KS
National Provider Identifier
1952796633
Registry record updated Oct 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
01-05338 Issued in KS
Legal business name
GRABOUSKI CHIROPRACTIC AND WELLNESS CENTER LLC
Practice address
9154 W 135TH St
Overland Park, KS 66221-2044
Phone
(913) 851-5188
Fax
(855) 691-7040
NPI assigned
Mar 31, 2015
Last updated
Oct 20, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2016

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

Authorized official

Name
Justin Grabouski, D.C.NPI 1861796559
Title
Owner
Phone
(913) 680-8883

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X 01-05338 KS Primary

Addresses

Primary practice location

9154 W 135TH St
Overland Park, KS 66221-2044

Mailing address

9154 W 135TH St
Overland Park, KS 66221-2044
Phone (913) 851-5188

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161020001985 KS Part B Supplier - Clinic/Group Practice 7113205451 Receives reassigned benefits from 1 practitioner
Practice locations: Overland Park, KS

National Provider Directory

National Provider Directory

Locations

9154 W 135th St
Overland Park, KS 66221
Phone (913) 851-5188

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1427760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476921600000",
    "number": "1952796633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9154 W 135TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662212044",
            "telephone_number": "913-851-5188",
            "fax_number": "855-691-7040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9154 W 135TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662212044",
            "telephone_number": "913-851-5188",
            "fax_number": "855-691-7040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRABOUSKI CHIROPRACTIC AND WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-31",
        "last_updated": "2016-10-20",
        "status": "A",
        "authorized_official_last_name": "GRABOUSKI",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "913-680-8883",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "KS",
            "license": "01-05338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2016; 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.