CUSTOM CHIROPRACTIC CENTER LLC NPI 1659562148

NPI Information

  • NPI: 1659562148
  • Provider Name: CUSTOM CHIROPRACTIC CENTER LLC
  • Classification: Chiropractor - 111N00000X
  • Entity Type: Organization
  • Address: 6220 ANTIOCH RD
    SUITE 200
    SHAWNEE MISSION, KS
    ZIP 66202
  • Phone: (913) 722-1113

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NPI Details

CUSTOM CHIROPRACTIC CENTER LLC is a chiropractor in Shawnee Mission, KS. The provider is 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. CUSTOM CHIROPRACTIC CENTER LLC NPI is 1659562148. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6220 ANTIOCH RD
SUITE 200
SHAWNEE MISSION, KS
ZIP 66202-866
Phone: (913) 722-1113
Fax: (913) 722-2677

The provider's authorized official is Arvil Lonnie Rudd .
The authorized official title is President and has the following contact phone number (913) 722-1113.

The enumeration date for this NPI number is 8/8/2007 and was last updated on 4/20/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractor01-04887KANSASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1=========OTHERUPIN
2R12D174MEDICARE UPINKANSAS
333911023OTHERBLUE CROSS BLUE SHIELD
4P00220339OTHERKANSASRAILROAD MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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