DR. JESSE D WALDEN (NPI# 1578719340) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578719340 |
| Entity Type | Individual |
| Full Name | DR. JESSE D WALDEN |
| Credential | D.C. |
| Practice Address |
11652 W. 75 St. Shawnee KS 66214 |
| Mailing Address |
11652 W 75th St Shawnee KS 66214-1372 |
| Practice Telephone | 9138251235 |
| Enumeration Date | 2008-08-13 |
| Last Update Date | 2008-08-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111NS0005X |
Chiropractor Specialization: Sports Physician |
01-05054 | KS | Chiropractic Providers |
| Street Address |
11652 W. 75 ST. |
| City | SHAWNEE |
| State | KS |
| Zip Code | 66214 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871145532 | Sparkling Fountain of Love Adult Care Homes | Meals | 8525 Switzer Road, Overlandpark, KS 66214 | 2019-07-12 |
| 1295259174 | Chelsea Leigh Nettle | Specialist/Technologist | 9111 Barton, Overland Park, KS 66214 | 2017-08-01 |
| 1548707177 | Rita M Burnett Dds Mobile LLC | Dentist | 8367 Nieman Rd, Lenexa, KS 66214 | 2017-01-20 |
| 1760843346 | Pride Care Medical Equipment and Mobility LLC | Durable Medical Equipment & Medical Supplies | 11759 W 86th Ter, Lenexa, KS 66214 | 2016-03-10 |
| 1861864381 | Melanie Ellsworth | Specialist/Technologist | 10533 Goddard Street, Apt 331, Overland Park, KS 66214 | 2015-10-23 |
| 1043618135 | Heartland Medical, LLC | Pharmacy | 7955 Flint Street, Lenexa, KS 66214 | 2014-12-05 |
| 1912241902 | Laura Elizabeth Ponce | Acupuncturist | 7410 Switzer Rd., Shawnee, KS 66214 | 2012-11-15 |
| 1154563732 | Megan Elizabeth Hutchinson Frazier | Occupational Therapist | 10300 W. 103rd St., Suite 300, Quantum Health Professionals, Overland Park, KS 66214 | 2009-03-30 |
| 1205078151 | Kortney Marie Cuddigan | Occupational Therapist | 10300 West 103rd Street, Suite 300, Overaland Park, KS 66214 | 2009-03-24 |
| 1114174158 | Michelle Renee Neher | Speech-Language Pathologist | 10300 W 103rd Street, Suite 300, Overland Park, KS 66214 | 2008-08-21 |
| Find all providers in zip 66214 | ||||
| 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 |
| 1023673068 | Jack Edward Gallagher | Chiropractor | 13400 Briar Dr Ste B, Leawood, KS 66209-3433 | 2019-05-06 |
| 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 |
| 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.