DR. SHALOM M LAFORGE (NPI# 1992740005) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992740005 |
| Entity Type | Individual |
| Full Name | DR. SHALOM M LAFORGE |
| Credential | D.C. |
| Practice Address |
2243 S Meridian Ave Suite 101 Wichita KS 67213-1911 |
| Practice Telephone | 3169452525 |
| Practice Fax Number | 3169455694 |
| Mailing Telephone | 3169452525 |
| Mailing Fax Number | 3169455694 |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | KS01-04896 | KS | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | PHS | 8789 | 01 |
| KS | BLUE CROSS BLUE SHIELD | 062167 | 01 |
| Street Address |
2243 S MERIDIAN AVE SUITE 101 |
| City | WICHITA |
| State | KS |
| Zip Code | 67213-1911 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275981094 | Amber Buckles | Physical Therapist | 2243 S Meridian Ave, Ste 105, Wichita, KS 67213-1949 | 2016-06-02 |
| 1952701948 | Megan A Carp | Physical Therapy Assistant | 2243 S Meridian Ave, Ste 105, Wichita, KS 67213-1949 | 2014-08-27 |
| 1811275027 | Kenneth William Barry | Physical Therapist | 2243 S Meridian Ave, Ste 105, Wichita, KS 67213-1949 | 2011-07-22 |
| 1497060388 | Matthew D Wilcox | Physical Therapist | 2243 S Meridian Ave, Ste 105, Wichita, KS 67213-1949 | 2010-08-16 |
| 1316195357 | Dopps Chiropractic Wellness Center LLC | Chiropractor | 2243 S Meridian Ave, Suite 101, Wichita, KS 67213-1949 | 2008-09-03 |
| 1104912922 | Wilcox Advanced Physical Therapy, LLC | Physical Therapist | 2243 S Meridian Ave, Wichita, KS 67213-1949 | 2006-10-05 |
| 1770684771 | Halifa, Pa | Chiropractor | 2243 S Meridian Ave, Ste 101, Wichita, KS 67213-1911 | 2006-09-25 |
| 1316975949 | Charles Long | Chiropractor | 2243 S Meridian Ave, Suite 101, Wichita, KS 67213-1911 | 2006-06-30 |
| 1730117920 | Fredrick Paul Dopps | Chiropractor | 2243 S Meridian Ave, Suite 101, Wichita, KS 67213-1911 | 2006-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689111965 | Kelsey Lynn Riefenhauser | Specialist/Technologist, Other | 3100 Mccormick, Wichita, KS 67213 | 2017-01-25 |
| 1932579513 | Gracemed Health Clinic, Inc | Clinic/Center | 755 W. Lincoln St, Wichita, KS 67213 | 2015-09-25 |
| 1134564024 | Valerie Christine Wondra | Physical Therapist | 301 S Meridian Ave, Wichita, KS 67213 | 2013-05-06 |
| 1942597505 | Carmen Maria Aguilar | Social Worker | 2312 S Meridian Ave Ste 102, Wichita, KS 67213 | 2011-07-05 |
| 1245568625 | Joanne Velez | Home Health | 711 S Main, Wichita, KS 67213 | 2009-11-24 |
| 1093958712 | Adaptive Living, LLC | Occupational Therapist | 2423 W. Maple, Ste B, Wichita, KS 67213 | 2009-04-10 |
| 1295809069 | Stacey D Langston | Technician/Technologist | 2301 S Water, Wichita, KS 67213 | 2006-11-20 |
| 1275595134 | Ronald Dean Fisher | Optometrist | 2635 W Douglas, Wichita, KS 67213 | 2006-04-05 |
| 1083676936 | Wichita Optometry, P.a. | Optometrist | 2635 W Douglas Ave, Wichita, KS 67213 | 2006-04-05 |
| 1427361385 | Ryan Carl Emrick | Optometrist | 1202 W Maple St, Wichita, KS 67213 | 2010-07-21 |
| Find all providers in zip 67213 | ||||
| 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.