Active NPI
David Lauchlin Gulledge, D.C.
- Chiropractor
- Overland Park, KS
National Provider Identifier
1992938369
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 01-05279
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 01-05279 | KS | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| True Health PA | Chiropractor | Current | 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.
-
- Physical Medicine & Rehabilitation Physician
- Overland Park, KS
- NPI 1811314834
Chiropractor
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.