Active NPI
Brandon Manche, PTA
- Specialist
- Merriam, KS
National Provider Identifier
1992955918
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 2007037023
- Practice address
- 6700 Antioch Rd
Suite 430
Merriam, KS 66204-1258 - Phone
- (913) 652-9229
- NPI assigned
- Sep 26, 2008
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 2007037023 | MO | Primary |
Addresses
Primary practice location
6700 Antioch Rd
Suite 430
Merriam, KS 66204-1258
Mailing address
6700 Antioch Rd
Suite 430
Merriam, KS 66204-1258
Phone (913) 652-9229
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2007037023 | MO | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222387200000",
"number": "1992955918",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6700 ANTIOCH RD",
"address_2": "SUITE 430",
"city": "MERRIAM",
"state": "KS",
"postal_code": "662041258",
"telephone_number": "913-652-9229"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6700 ANTIOCH RD",
"address_2": "SUITE 430",
"city": "MERRIAM",
"state": "KS",
"postal_code": "662041258",
"telephone_number": "913-652-9229"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANCHE",
"first_name": "BRANDON",
"name_prefix": "Mr.",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-09-26",
"last_updated": "2008-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "MO",
"license": "2007037023",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Merriam, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.