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CUSTOM CHIROPRACTIC CENTER LLC
NPI 1659562148
Chiropractor in Shawnee Mission, KS

Active since August 08, 2007
6220 ANTIOCH RD, SUITE 200, SHAWNEE MISSION, KS 66202(913) 722-1113(913) 722-2677 Get Directions Write a Review

NPPES record last updated: April 20, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Custom Chiropractic Center Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CUSTOM CHIROPRACTIC CENTER LLC (NPI 1659562148) is a healthcare organization registered as a chiropractor in Shawnee Mission, Kansas and active in the NPI registry since August 2007. The organization lists Arvil Lonnie Rudd, President, as its authorized official.

NPPES Registry Identity

NPI1659562148
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameCUSTOM CHIROPRACTIC CENTER LLC
Location Address6220 ANTIOCH RD, SUITE 200Shawnee Mission, KS 66202-2866
Mailing Address6220 Antioch Rd, Suite 200Shawnee Mission, KS 66202-2866 · (913) 722-1113 · Fax (913) 722-2677
Phone(913) 722-1113
Fax(913) 722-2677
Organization SubpartNo
Authorized OfficialArvil Lonnie RuddPresident · (913) 722-1113
Enumeration DateAugust 8, 2007
Last NPPES UpdateApril 20, 2008
✔ NPI 1659562148 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in KS · 01-04887
Definition
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.
6220 ANTIOCH RD, Shawnee Mission, KS 66202
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Other Identifiers 3

Medicare UPINR12D174KS
Other33911023Blue Cross Blue Shield
OtherP00220339KS · Railroad Medicare

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MICHAEL J SHARA D.C.
Chiropractor
6220 ANTIOCH RD, SUITE 212
MERRIAM, KS 66202
Johnson County (913) 262-4228
DR. ARVIL LONNIE RUDD DC
Chiropractor
6220 ANTIOCH RD, STE 200
SHAWNEE MISSION, KS 66202
Johnson County (913) 722-1113

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Custom Chiropractic Center LLC's NPI number?

The NPI number for Custom Chiropractic Center LLC is 1659562148. It was assigned to this organization in the NPPES registry on August 8, 2007.

Where is Custom Chiropractic Center LLC located?

Custom Chiropractic Center LLC is located at 6220 Antioch Rd Suite 200, Shawnee Mission, KS 66202. The listed phone number is (913) 722-1113.

What is Custom Chiropractic Center LLC's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Custom Chiropractic Center LLC was last updated on April 20, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.