Individual provider Active NPI

Kyu Cheol Mun, D.C.

  • Chiropractor
  • Leawood, KS
National Provider Identifier
1043390727
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
10-04929 Issued in KS
Practice address
8014 State Line Rd
Suite 101
Leawood, KS 66208
Phone
(913) 341-1930
Fax
(913) 341-1960
NPI assigned
Oct 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 10-04929 KS Primary
Chiropractor 111N00000X 2004092660 MO

Addresses

Primary practice location

8014 State Line Rd
Suite 101
Leawood, KS 66208

Mailing address

8014 State Line Rd
Suite 101
Leawood, KS 66208
Phone (913) 341-1930

Other identifiers 2

IdentifierTypeStateIssuer
35118011OtherMOBLUE CROSS BLUE SHIELD
5598644OtherKSFIRST HEALTH

Other names 1

  • Martin Mun Professional name

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

LicenseStateTypeSpecialty
10-04929KSMDChiropractor
2004092660MOMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043390727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8014 STATE LINE RD",
            "address_2": "SUITE 101",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "66208",
            "telephone_number": "913-341-1930",
            "fax_number": "913-341-1960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8014 STATE LINE RD",
            "address_2": "SUITE 101",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "66208",
            "telephone_number": "913-341-1930",
            "fax_number": "913-341-1960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUN",
        "first_name": "KYU CHEOL",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "10-04929",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2004092660",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "35118011",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH",
            "identifier": "5598644",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARTIN",
            "last_name": "MUN",
            "credential": "D.C.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Leawood, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.