Active NPI
James Steven Waddell, DC
- Chiropractor
- Gladstone, MO
National Provider Identifier
1043245384
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4436
- Practice address
- 6716 North Oak Trafficway
Gladstone, MO 64118-3345 - Phone
- (816) 436-7153
- Fax
- (816) 436-7158
- NPI assigned
- Jul 12, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4436 | MO | Primary |
Addresses
Primary practice location
6716 North Oak Trafficway
Gladstone, MO 64118-3345
Mailing address
6716 North Oak Trafficway
Gladstone, MO 64118-3345
Phone (816) 436-7153
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 085S008 | Other | MO | AETNA |
| 167788016 | Other | MO | BCBS |
| 752851907 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4436 | MO | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gakdc LLC | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1286236800000",
"number": "1043245384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6716 NORTH OAK TRAFFICWAY",
"city": "GLADSTONE",
"state": "MO",
"postal_code": "641183345",
"telephone_number": "816-436-7153",
"fax_number": "816-436-7158"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6716 NORTH OAK TRAFFICWAY",
"city": "GLADSTONE",
"state": "MO",
"postal_code": "641183345",
"telephone_number": "816-436-7153",
"fax_number": "816-436-7158"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WADDELL",
"first_name": "JAMES",
"middle_name": "STEVEN",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-12",
"last_updated": "2010-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MO",
"license": "4436",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "085S008",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "167788016",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "752851907",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Gladstone, MO
- Matthew Vandendaele, PT, DPT
- Verity Counseling LLC
- Viking Vision, Inc. (In Vision Eye Care Center Gladstone)
- Amanda Kathryn Voigt, PHARMD
- Elizabeth Anne Wachira, PHARMD
- Wagner Chiropractics LLC
- Andrew Wagner, DC
- Wal-Mart Stores East LP (Walmart Pharmacy 10-1120)
- Wal-Mart Stores East, LP (Vision Center 30-1120)
- Austin Walker, PHARMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.