Individual provider Active NPI

David Lauchlin Gulledge, D.C.

  • Chiropractor
  • Overland Park, KS
National Provider Identifier
1992938369
Registry record updated Sep 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
01-05279 Issued in KS
Practice address
11879 W 112TH St
Suite 100
Overland Park, KS 66210-2725
Phone
(913) 338-1112
NPI assigned
Sep 1, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 01-05279 KS Primary

Addresses

Primary practice location

11879 W 112TH St
Suite 100
Overland Park, KS 66210-2725

Mailing address

11427 Reeder St
Overland Park, KS 66210-3032
Phone (816) 210-5792

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100108000170 KS Practitioner - Chiropractic 2769523018 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
True Health PAGroup PAC ID 5092930842, 3 clinicians

Practice addresses (Care Compare)

11879 W 112TH St
Suite 100
Overland Park, KS 66210-4115
Phone (913) 338-1112

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
01-05279KSMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
True Health PA Chiropractor CurrentSince Jun 1, 2015 Accepting new patients

Locations

11879 W 112th St
Ste 100
Overland Park, KS 66210
Phone (913) 338-1112

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1251763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251763200000",
    "number": "1992938369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11427 REEDER ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662103032",
            "telephone_number": "816-210-5792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11879 W 112TH ST",
            "address_2": "SUITE 100",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662102725",
            "telephone_number": "913-338-1112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GULLEDGE",
        "first_name": "DAVID",
        "middle_name": "LAUCHLIN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-09-01",
        "last_updated": "2009-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "01-05279",
            "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 Sep 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.