Active NPI
Kevin Ross Mott, D.C.
- Chiropractor
- Prairie Village, KS
National Provider Identifier
1043396427
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 01-05061
- Practice address
- 8014 State Line Rd
Suite 200
Prairie Village, KS 66208-3710 - Phone
- (913) 642-4188
- NPI assigned
- Oct 28, 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 | 01-05061 | KS | Primary |
Addresses
Primary practice location
8014 State Line Rd
Suite 200
Prairie Village, KS 66208-3710
Mailing address
6565 Foxridge Dr Apt 1050
Mission, KS 66202-1393
Phone (913) 403-9869
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01-05061 | KS | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161993600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1043396427",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6565 FOXRIDGE DR APT 1050",
"city": "MISSION",
"state": "KS",
"postal_code": "662021393",
"telephone_number": "913-403-9869"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8014 STATE LINE RD",
"address_2": "SUITE 200",
"city": "PRAIRIE VILLAGE",
"state": "KS",
"postal_code": "662083710",
"telephone_number": "913-642-4188"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOTT",
"first_name": "KEVIN",
"middle_name": "ROSS",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "KS",
"license": "01-05061",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Prairie Village, 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.