{"npi":"1659562148","type":"NPI-2","status":"active","name":{"display":"Custom Chiropractic Center LLC","other":[],"organization_name":"CUSTOM CHIROPRACTIC CENTER LLC","authorised_official":"Arvil Rudd"},"specialty":{"primary_taxonomy":"111N00000X","primary_taxonomy_description":"Chiropractor","slug":"chiropractor","schema_org_specialty":null,"all":[{"code":"111N00000X","description":"Chiropractor","primary":true,"state":"KS","license":"01-04887"}]},"addresses":[{"purpose":"LOCATION","street_1":"6220 ANTIOCH RD","city":"SHAWNEE MISSION","state":"KS","postal_code":"662022866","country_code":"US","street_2":"SUITE 200","phone":"9137221113","fax":"9137222677"},{"purpose":"MAILING","street_1":"6220 ANTIOCH RD","city":"SHAWNEE MISSION","state":"KS","postal_code":"662022866","country_code":"US","street_2":"SUITE 200","phone":"9137221113","fax":"9137222677"}],"license":{"state":"KS","number":"01-04887"},"identifiers":[{"type_code":"01","label":"Other","value":"33911023","state":null,"issuer":"BLUE CROSS BLUE SHIELD"},{"type_code":"01","label":"Other","value":"P00220339","state":"KS","issuer":"RAILROAD MEDICARE"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20040826001076","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"KS","pac_id":"5193766335"}]},"enumeration_date":"2007-08-08","last_updated":"2008-04-20","_meta":{"source":"NPPES","snapshot_date":"2008-04-20","doc_url":"https://findmynpi.com/api"}}