Provider Demographics
NPI:1235200890
Name:INTEGRITY CHIROPRACTIC AND WELLNESS, LLC
Entity Type:Organization
Organization Name:INTEGRITY CHIROPRACTIC AND WELLNESS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:A
Authorized Official - Last Name:JIMENEZ
Authorized Official - Suffix:II
Authorized Official - Credentials:DC
Authorized Official - Phone:913-888-2066
Mailing Address - Street 1:13200 W 95TH ST
Mailing Address - Street 2:
Mailing Address - City:LENEXA
Mailing Address - State:KS
Mailing Address - Zip Code:66215-3731
Mailing Address - Country:US
Mailing Address - Phone:913-888-2066
Mailing Address - Fax:913-888-4851
Practice Address - Street 1:13200 W 95TH ST
Practice Address - Street 2:
Practice Address - City:LENEXA
Practice Address - State:KS
Practice Address - Zip Code:66215-3731
Practice Address - Country:US
Practice Address - Phone:913-888-2066
Practice Address - Fax:913-888-4851
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS01-04988111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS36647011OtherGROUP ID
KSDE5338Medicare ID - Type UnspecifiedRAILROAD MEDICARE GRP ID
KS36647011OtherGROUP ID
KSV05261Medicare UPIN