Quantum Wellness LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

QUANTUM WELLNESS LLC

Practice address

5728 N Broadway St Ste D
Kansas City, MO 64118-3997

Phone

(816) 584-4670

Fax

(816) 708-0804

NPI assigned

May 15, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Kristine Baker, DC

Title

Owner

Phone

(815) 584-4670

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1589500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650326400000",
    "number": "1992327613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5728 N BROADWAY ST STE D",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641183997",
            "telephone_number": "816-584-4670",
            "fax_number": "816-708-0804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5728 N BROADWAY ST STE D",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641183997",
            "telephone_number": "816-584-4670",
            "fax_number": "816-708-0804"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22093 County Road 271",
            "address_purpose": "LOCATION",
            "city": "Wheatland",
            "state": "MO",
            "postal_code": "657798474",
            "country_code": "US",
            "telephone_number": "816-584-4670",
            "fax_number": "816-708-0804",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "QUANTUM WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-15",
        "last_updated": "2022-04-19",
        "certification_date": "2022-04-19",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "KRISTINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-584-4670",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 19, 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.