KC SPINE, LLC (NPI# 1184100034) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1184100034 |
Entity Type | Organization |
Organization Name | KC SPINE, LLC |
Other Organization Name | CLEAR WAVE CHIROPRACTIC |
Practice Address |
1707 E Cedar St Ste 108 Olathe KS 66062-1886 |
Mailing Address |
12482 Slater Ln Overland Park KS 66213-1773 |
Practice Telephone | 9133183003 |
Mailing Telephone | 9134755193 |
Enumeration Date | 2018-07-13 |
Last Update Date | 2019-03-19 |
Authorized Official Name | DR. CAMEON M BLAKE (OWNER / CHIROPRACTOR) |
Authorized Official Telephone | 9134755193 |
Authorized Official Credential | DC |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 111N00000X | Chiropractor | 01-05902 | KS | Chiropractic Providers |
Other Name | Type Code |
---|---|
Clear Wave Chiropractic | Former Legal Business Name - Organization |
KC Spine | Doing Business As Name - Organization |
Street Address |
1707 E CEDAR ST STE 108 |
City | OLATHE |
State | KS |
Zip Code | 66062-1886 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386130839 | Cameon Michelle Blake | Chiropractor | 1707 E Cedar St Ste 108, Olathe, KS 66062-1886 | 2018-07-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326672353 | Skylar Moore | Behavioral Analyst | 620 S. Rodgers Rd, Olathe, KS 66062 | 2020-02-28 |
1013554179 | Maureen Nicole Hernandez | Counselor | 14201 S Mur-len Rd, Suite 106, Olathe, KS 66062 | 2019-12-06 |
1326505256 | Gateway of Hope Minisitries Inc | Counselor | 801 N. Murlen Suite 111, Olathe, KS 66062 | 2019-02-27 |
1235607698 | Eric Kilii Malombe | Driver | 17525 S Roundtree Drive, Olathe, KS 66062 | 2018-11-04 |
1013482504 | Jacqueline Maria Loconsolo | Counselor | 14201 S Mur Len Rd Ste 106, Olathe, KS 66062 | 2018-10-10 |
1245710193 | Olathe South Dentistry, Pa | Dentist | 16587 W 151st St, Olathe, KS 66062 | 2018-08-20 |
1801389671 | Karen Sue Tennyson | Behavior Technician | 14136 East 135th St., Olathe, KS 66062 | 2018-06-07 |
1861901639 | Phye Family Dentistry, P.a. | Dentist | 401 S. Clairborne, Suite A, Olathe, KS 66062 | 2017-09-25 |
1689192619 | Briana Purkapile | Occupational Therapy Assistant | 17336 West 158th St., Olathe, KS 66062 | 2017-08-30 |
1629591342 | Sbl Enterprises, LLC | Occupational Therapist | 14154 W 156th Lane, Olathe, KS 66062 | 2017-07-25 |
Find all providers in zip 66062 |
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 |
---|---|---|---|---|
1477110146 | Charity Rose Lenhoff | Chiropractor | 16310 S Central St, Olathe, KS 66062-2791 | 2019-05-28 |
1356819395 | Pure Balance Family Chiropractic LLC | Chiropractor | 601 N Mur Len Rd Ste 5, Olathe, KS 66062-5416 | 2018-11-07 |
1306325204 | Aleesa Harris | Chiropractor | 10454 S Ridgeview Rd, Olathe, KS 66061-6438 | 2018-08-10 |
1386130839 | Cameon Michelle Blake | Chiropractor | 1707 E Cedar St Ste 108, Olathe, KS 66062-1886 | 2018-07-09 |
1790286391 | Summit Chiropractic, LLC | Chiropractor | 801 N Mur Len Rd Ste 103, Olathe, KS 66062-1794 | 2018-02-28 |
1710499579 | Leslie Reece | Chiropractor | 153 W 151st St Ste 150, Olathe, KS 66061-4592 | 2017-11-01 |
1124566088 | Realign Kc Chiropractic, LLC | Chiropractor | 14949 W 124th Ter, Olathe, KS 66062-5934 | 2017-02-10 |
1265980130 | Unruh Chiropractic & Wellness Pllc | Chiropractor | 1815 S Ridgeview Rd, Olathe, KS 66062-2288 | 2016-09-20 |
1811347743 | John Williams Krim IIi | Chiropractor | 14625 S Caenen Ln, Olathe, KS 66062-8405 | 2016-06-22 |
1720433444 | Nicolas Rodriguez | Chiropractor | 535 W Elm St, Olathe, KS 66061-4074 | 2016-05-02 |
Find all providers in OLATHE |
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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.