Integrative Health Center LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2000148597 Issued in MO

Legal business name

INTEGRATIVE HEALTH CENTER LLC

Practice address

317 Delaware St
Kansas City, MO 64105-1215

Phone

(816) 283-8400

Fax

(816) 283-8708

NPI assigned

Apr 5, 2011

Organization subpart

Yes

Parent organization

INTEGRATIVE HEALTH CENTERAs reported in NPPES

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

Authorized official

Name

Wray Robert B. Williams, DC

Title

Owner

Phone

(816) 283-8400

Specialties & licenses 2

Addresses

Part of

Integrative Health Center LLC

Locations

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

{
    "created_epoch": "1301961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303948800000",
    "number": "1982993523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 DELAWARE ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641051215",
            "telephone_number": "816-283-8400",
            "fax_number": "816-283-8708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 DELAWARE ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641051215",
            "telephone_number": "816-283-8400",
            "fax_number": "816-283-8708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE HEALTH CENTER LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INTEGRATIVE HEALTH CENTER",
        "enumeration_date": "2011-04-05",
        "last_updated": "2011-04-28",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "WRAY ROBERT",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "816-283-8400",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2000148597",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "MO",
            "license": "2006023729",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2011; 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.