Organization Active NPI

Radiant Family Wellness

  • Chiropractor
  • Olathe, KS
National Provider Identifier
1982337705
Registry record updated Jul 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
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

Updated by the provider on Jul 8, 2022

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)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X Primary
Pediatric ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
49738011OtherKSBLUE CROSS BLUE SHIELD
57465021OtherKSBLUE CROSS BLUE SHIELD
6031765OtherAETNA

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://control.connectwise.com/

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.