Active NPI
Radiant Family Wellness
- Chiropractor
- Olathe, KS
National Provider Identifier
1982337705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- RADIANT FAMILY WELLNESS
- Practice address
- 12744 S Pflumm Rd
Olathe, KS 66062-3664 - Phone
- (913) 322-0251
- Fax
- (816) 817-4861
- NPI assigned
- Jul 8, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Stacie A Kready
- Title
- Office Manage
- Phone
- (913) 322-0251
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | Primary | ||
| Pediatric Chiropractor | 111NP0017X |
Addresses
Primary practice location
12744 S Pflumm Rd
Olathe, KS 66062-3664
Mailing address
17701 N US Highway 169
Smithville, MO 64089-8609
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 49738011 | Other | KS | BLUE CROSS BLUE SHIELD |
| 57465021 | Other | KS | BLUE CROSS BLUE SHIELD |
| 6031765 | Other | AETNA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | https://control.connectwise.com/ |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1657238400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1657238400000",
"number": "1982337705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17701 N US HIGHWAY 169",
"city": "SMITHVILLE",
"state": "MO",
"postal_code": "640898609"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12744 S PFLUMM RD",
"city": "OLATHE",
"state": "KS",
"postal_code": "660623664",
"telephone_number": "913-322-0251",
"fax_number": "816-817-4861"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RADIANT FAMILY WELLNESS",
"organizational_subpart": "NO",
"enumeration_date": "2022-07-08",
"last_updated": "2022-07-08",
"certification_date": "2022-07-08",
"status": "A",
"authorized_official_last_name": "KREADY",
"authorized_official_first_name": "STACIE",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OFFICE MANAGE",
"authorized_official_telephone_number": "913-322-0251"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": true
},
{
"code": "111NP0017X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor, Pediatric Chiropractor",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "49738011",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "57465021",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "6031765",
"state": null
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "https://control.connectwise.com/",
"affiliation": "N",
"endpointDescription": "Connect Wise Control",
"address_1": "12744 S Pflumm Rd",
"city": "Olathe",
"state": "KS",
"country_code": "US",
"postal_code": "660623664",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Jul 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.