SHIRIN MOSHIRI GULLEDGE (NPI# 1275676371) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275676371 |
| Entity Type | Individual |
| Full Name | SHIRIN MOSHIRI GULLEDGE |
| Credential | D.C. |
| Practice Address |
11879 W 112th St Ste 100 Overland Park KS 66210-2725 |
| Practice Telephone | 9133381112 |
| Practice Fax Number | 9133382079 |
| Mailing Telephone | 9139627408 |
| Mailing Fax Number | 9139627416 |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2013-01-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | T01052 | KS | Chiropractic Providers |
| Street Address |
11879 W 112TH ST STE 100 |
| City | OVERLAND PARK |
| State | KS |
| Zip Code | 66210-2725 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811314834 | True Health Pa | Chiropractor | 11879 W 112th St, Suite 100, Overland Park, KS 66210 | 2014-03-27 |
| 1518207828 | Katie Elizabeth Shipley | Physical Therapist | 11879 W 112th St, #100, Overland Park, KS 66210-2725 | 2013-02-22 |
| 1568735173 | Gulledge Family Wellness P.a. | Chiropractor | 11879 W 112th St, Suite 100, Overland Park, KS 66210-2725 | 2012-02-13 |
| 1205165958 | Gulledge Family Wellness Pa | Chiropractor | 11879 W 112th St, Suite 100, Overland Park, KS 66210-2725 | 2009-12-09 |
| 1730413204 | Gulledge Family Wellness, LLC | Clinic/Center | 11879 W 112th St, Suite 100, Overland Park, KS 66210-2725 | 2009-09-30 |
| 1336372887 | Kyle Vincent Gulledge | Chiropractor | 11879 W 112th St, Suite 100, Overland Park, KS 66210-2725 | 2009-09-01 |
| 1992938369 | David Lauchlin Gulledge | Chiropractor | 11879 W 112th St, Suite 100, Overland Park, KS 66210-2725 | 2009-09-01 |
| 1629211818 | Inner Wisdom Healing Center | Chiropractor | 11879 W 112th St, Overland Park, KS 66210-2725 | 2009-04-17 |
| 1013136860 | Scott G Willson | General Practice | 11879 W 112th St, Suite 300, Overland Park, KS 66210-2725 | 2007-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437794302 | Sme Kansas P.a. | General Practice | 7300 West 110th Street, Commerce Plaza 1 7th Floor, Overland Park, KS 66210 | 2019-11-14 |
| 1417591165 | Refractive Cataract Center, LLC | Clinic/Center | 8300 College Boulevard, Suite 201, Overland Park, KS 66210 | 2019-11-05 |
| 1336705730 | Above & Beyond In-home Kansas, LLC | In Home Supportive Care | 7300 W. 110th Street, Suite 700, Overland Park, KS 66210 | 2019-05-13 |
| 1528531720 | Sarah J Sievers | Acupuncturist | 4800 W. 135th St. Suite 200, Leawood, Ks 66224, KS 66210 | 2019-01-10 |
| 1790286326 | Sarah E Hamilton | Physician Assistant | 8490 College Boulevard, Overland, KS 66210 | 2018-02-28 |
| 1730600750 | True Health and Wellness, LLC | Family Medicine | 11879 W. 112th Street, Suite 100, Overland Park, KS 66210 | 2017-06-29 |
| 1639610603 | Kayla Jolene Lawrance | Advanced Practice Midwife | 9202 W. 110th St., Building 36, Overland Park, KS 66210 | 2017-03-10 |
| 1972041952 | Ccrc of Cedar Rapids, LLC | Skilled Nursing Facility | 11827 W 112th St, Suite 103, Overland Park, KS 66210 | 2017-02-09 |
| 1396122008 | Laurie Jean Sansom | Counselor | 8575 W. 110th, Ste. 218, Overland Park, KS 66210 | 2015-05-01 |
| 1790181063 | Susan J. Anderson, Psy.d., Pa | Psychologist | 8500 W. 100th Street, 540, Overland Park, KS 66210 | 2014-11-13 |
| Find all providers in zip 66210 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720689359 | Andrew L Todd | Chiropractor | 6800 W 91st St, Overland Park, KS 66212-1453 | 2020-11-02 |
| 1336752591 | Johnathan Chase Carlin | Chiropractor | 10985 Cody St Ste 100, Overland Park, KS 66210-1219 | 2020-08-27 |
| 1538780465 | Joshua Whitmore | Chiropractor | 12101 W 110th St Ste 200, Overland Park, KS 66210-3935 | 2020-05-01 |
| 1871127985 | Katie Marie Muller | Chiropractor | 9621 W 87th St, Overland Park, KS 66212-4570 | 2020-02-27 |
| 1932748282 | Jessica Langel | Chiropractor | 7418 W 121st St, Overland Park, KS 66213-1203 | 2020-01-04 |
| 1750936290 | Roling Chiropractic and Wellness LLC | Chiropractor | 11818 W 135th St, Overland Park, KS 66221 | 2019-08-01 |
| 1083267637 | Virtue Chiropractic LLC | Chiropractor | 6511 W 119th St, Overland Park, KS 66209-2001 | 2019-07-23 |
| 1003469529 | Back On Track Chiropractic & Acupuncture LLC | Chiropractor | 9904 College Blvd, Overland Park, KS 66210-1756 | 2019-07-23 |
| 1447803630 | Nicholas James Swickard | Chiropractor | 15050 Antioch Rd Ste 102, Overland Park, KS 66221-8503 | 2019-07-17 |
| 1518519339 | Joshua Dale Roling | Chiropractor | 11818 West 135th Street, Overland Park, KS 66221 | 2019-07-11 |
| Find all providers in OVERLAND PARK | ||||
| City | OVERLAND PARK |
| Zip Code | 66210 |
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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.