ELITE SPORTS CHIROPRACTIC, LLC (NPI# 1306155510) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306155510 |
| Entity Type | Organization |
| Organization Name | ELITE SPORTS CHIROPRACTIC, LLC |
| Practice Address |
7570 W 21st St N Ste 1006a Wichita KS 67205-1773 |
| Practice Telephone | 3163375757 |
| Practice Fax Number | 3163375758 |
| Mailing Telephone | 3163375757 |
| Mailing Fax Number | 3163375758 |
| Enumeration Date | 2010-10-05 |
| Last Update Date | 2018-03-17 |
| Authorized Official Name | MELISSA BRIDGES (OFFICE MANAGER) |
| Authorized Official Telephone | 3163375757 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 01-05124 | KS | Chiropractic Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1445 N Rock Rd Ste 130, Wichita, KS 672061287 | 3163375757 | 3163375758 |
| 7570 W 21st St N Ste 1006a, Wichita, KS 672051773 | 3163375757 | 3163375758 |
| Street Address |
7570 W 21ST ST N STE 1006A |
| City | WICHITA |
| State | KS |
| Zip Code | 67205-1773 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467615245 | Jon Daric Messenger | Chiropractor | 7570 W 21st St N Ste 1006a, Wichita, KS 67205-1773 | 2008-07-02 |
| 1821402710 | Christopher Kirby | Chiropractor | 7570 W 21st St N Ste 1006a, Wichita, KS 67205-1773 | 2014-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295211910 | Emily M Chastain | Dentist | 3213 N. Ridge Rd, Wichita, KS 67205 | 2018-07-16 |
| 1811415466 | Awaken Psychology LLC | Clinic/Center | 2552 N Maize Ct Suite 600, Wichita, KS 67205 | 2017-09-05 |
| 1962940288 | Moc Wichita LLC | Assisted Living Facility | 7057 W Village Circle, Wichita, KS 67205 | 2017-02-07 |
| 1003362732 | Moc Wichita, LLC | Assisted Living Facility | 7057 West Village Circle, Wichita, KS 67205 | 2016-09-01 |
| 1649637653 | Abigail Friend | Audiologist-Hearing Aid Fitter | 2558 Lake Way Circle, Wichita, KS 67205 | 2016-01-21 |
| 1134505399 | Myles Davidson | Dentist | 3510 N Ridge Rd Ste 500, Wichita, KS 67205 | 2015-08-10 |
| 1093121097 | The Eye Gallery, LLC | Optometrist | 3084 N. Maize Rd, Wichita, KS 67205 | 2014-07-10 |
| 1922428721 | Sam's West, Inc. | Technician/Technologist | 3084 N. Maize Road, Witchita, KS 67205 | 2014-04-18 |
| 1447693627 | Caryn Rana Landreth | Social Worker | 3114 N Brush Creek St, Wichita, KS 67205 | 2013-04-08 |
| 1902182686 | Return To Motion Medical | Durable Medical Equipment & Medical Supplies | 3221 N Ridge Port Circle, Wichita, KS 67205 | 2011-10-26 |
| Find all providers in zip 67205 | ||||
| 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 |
|---|---|---|---|---|
| 1922652544 | Savannah Howell | Chiropractor | 2755 N Maize Rd Ste 107, Wichita, KS 67205-7327 | 2019-07-31 |
| 1508418914 | Ryan Grenier | Chiropractor | 3017 N Cypress St Ste B, Wichita, KS 67226-4026 | 2019-07-15 |
| 1316503691 | Jessica Ann Marie Gault | Chiropractor | 8641 W 13th St N Ste 107, Wichita, KS 67212-6280 | 2019-05-13 |
| 1972072064 | Boneworkz, LLC | Chiropractor | 211 S Tyler Rd, Wichita, KS 67209-1433 | 2018-11-19 |
| 1396248555 | Anthony Barta | Chiropractor | 8440 E 29th St N Ste 100, Wichita, KS 67226-3407 | 2018-03-14 |
| 1841790649 | Wichita Chiropractic and Physical Therapy Clinic Inc | Chiropractor | 125 S West St Ste 117, Wichita, KS 67213-2114 | 2018-02-19 |
| 1104334325 | Ryan M Simpson | Chiropractor | 8526 W 13th St N Ste 170, Wichita, KS 67212-2990 | 2018-01-22 |
| 1740796218 | Gawith Chiropractic LLC | Chiropractor | 2020 N Webb Rd Ste 102, Wichita, KS 67206-3408 | 2017-12-20 |
| 1326557075 | Stanley Chiropractic LLC | Chiropractor | 555 N Mclean Blvd Ste 302, Wichita, KS 67203-5815 | 2017-09-26 |
| 1932637154 | Dustin R Hague | Chiropractor | 2604 W 9th St N Ste 100, Wichita, KS 67203-4792 | 2017-06-01 |
| Find all providers in WICHITA | ||||
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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.