DR. JACK EDWARD GALLAGHER (NPI# 1023673068) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023673068 |
| Entity Type | Individual |
| Full Name | DR. JACK EDWARD GALLAGHER |
| Credential | DC |
| Practice Address |
13400 Briar Dr Ste B Leawood KS 66209-3433 |
| Mailing Address |
7200 W 141st St Apt 2501 Overland Park KS 66223-3978 |
| Practice Telephone | 9133454840 |
| Mailing Telephone | 2314091555 |
| Enumeration Date | 2019-05-06 |
| Last Update Date | 2019-05-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111NS0005X |
Chiropractor Specialization: Sports Physician |
01-05974 | KS | Chiropractic Providers |
| N | 111NR0400X |
Chiropractor Specialization: Rehabilitation |
01-05974 | KS | Chiropractic Providers |
| Street Address |
13400 BRIAR DR STE B |
| City | LEAWOOD |
| State | KS |
| Zip Code | 66209-3433 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740830785 | Sadie Patricia Wessels | Chiropractor | 13400 Briar Dr Ste B, Leawood, KS 66209-3433 | 2019-09-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265900286 | Kansas Wellness Associates LLC | Family Medicine | 4300 W 133rd Street, Suite 200, Leawood, KS 66209 | 2018-11-07 |
| 1740781871 | Courtney Collins | Physical Therapy Assistant | 6830 W. 121st. Ct, Overland Park, KS 66209 | 2018-02-23 |
| 1295246015 | Meredith Meyer Bell | Nurse Practitioner | 5064 W 130th Terrace, Leawood, KS 66209 | 2017-10-19 |
| 1740712223 | Margaret Alice Luckert | Registered Nurse | 5701 W 119th Street Suite 220, Overland Park, KS 66209 | 2017-04-03 |
| 1609311133 | Kansas City Community Hospital, LLC | General Acute Care Hospital | 13200 State Line Road, Leawood, KS 66209 | 2016-12-19 |
| 1316492499 | Christy Vopat | Occupational Therapist | 4952 W. 129 Th Terr, Leawood, KS 66209 | 2016-08-18 |
| 1861846594 | Paige Aberasturi Penick | Nutritionist | 6709 W 119th St # 207, Overland Park, KS 66209 | 2016-04-19 |
| 1568827905 | Eating Disorder Treatment Associates, LLC | Clinic/Center | 12140 Nall Avenue, Suite 315, Overland Park, KS 66209 | 2015-12-30 |
| 1689056483 | Michael Hauber | Physical Therapist | 12728 State Line Rd, Leawood, KS 66209 | 2015-06-29 |
| 1033597000 | Brooke J Heppner Mft | Marriage & Family Therapist | 6711 W. 121st Street, Suite 101, Overland Park, KS 66209 | 2015-05-11 |
| Find all providers in zip 66209 | ||||
| Taxonomy Code | 111NS0005X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| Specialization | Sports Physician |
| A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities. |
| Notes: Source: American Chiropractic Board of Sports Physicians, 2009 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457992448 | Tyler James Panko | Chiropractor | 7829 E Rockhill St Ste 303, Wichita, KS 67206-3914 | 2019-10-01 |
| 1700278983 | Performance Spine & Sport LLC | Chiropractor | 2597 S. Broadway Suite A, Pittsburg, KS 66762 | 2015-02-25 |
| 1023421179 | Bradley William Carolan | Chiropractor | 9809 W 110th Street, Bld. 36, Overland Park, KS 66210-1401 | 2014-06-06 |
| 1982014205 | Wilson Chiropractic and Wellness | Chiropractor | 1632 N Porter Ave, Wichita, KS 67203-2921 | 2014-05-08 |
| 1760811822 | Bluechip Spine & Sports Specialists, LLC | Chiropractor | 8336 E 21st St N, Suite #300, Wichita, KS 67206-2948 | 2013-11-08 |
| 1669729737 | Dynamic Athletics Health & Performance Institute LLC | Chiropractor | 9111 Flint St, Overland Park, KS 66214-1737 | 2012-08-08 |
| 1962739888 | Joseph Charles Kingry-staton | Chiropractor | 2111 E Crawford St, Salina, KS 67401-1326 | 2009-11-13 |
| 1366699407 | Performance Chiropractic | Chiropractor | 708 S Rogers Rd Ste A, Olathe, KS 66062-1739 | 2008-08-20 |
| 1578719340 | Jesse D Walden | Chiropractor | 11652 W. 75 St., Shawnee, KS 66214 | 2008-08-13 |
| 1033303136 | Casey T Hummel | Chiropractor | 550 North Andover Road, Andover, KS 67002 | 2007-08-31 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.