Organization Active NPI

David B. Shuck DO, LLC

  • Specialist
  • Overland Park, KS
National Provider Identifier
1033426697
Registry record updated Sep 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
O5-23677 Issued in KS
Legal business name
DAVID B. SHUCK DO, LLC
Practice address
14352 Metcalf Ave
Overland Park, KS 66223-2987
Phone
(877) 341-8075
NPI assigned
Sep 2, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
David Shuck, D.O.NPI 1205917481
Title
Director
Phone
(877) 341-8075

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X O5-23677 KS Primary

Addresses

Primary practice location

14352 Metcalf Ave
Overland Park, KS 66223-2987

Mailing address

14352 Metcalf Ave
Overland Park, KS 66223-2987
Phone (877) 341-8075

Other names 1

  • BodyLogicMD of Kansas City Doing business as

National Provider Directory

National Provider Directory

Locations

14352 Metcalf Ave
Overland Park, KS 66223
Phone (877) 341-8075

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1283385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283385600000",
    "number": "1033426697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14352 METCALF AVE",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662232987",
            "telephone_number": "877-341-8075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14352 METCALF AVE",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662232987",
            "telephone_number": "877-341-8075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID B. SHUCK DO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-02",
        "last_updated": "2010-09-02",
        "status": "A",
        "authorized_official_last_name": "SHUCK",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "877-341-8075",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "KS",
            "license": "O5-23677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BodyLogicMD of Kansas City",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Overland Park, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.