Individual provider Active NPI

Jeffrey L. Lamb, D.C.

  • Chiropractor
  • Independence, MO
National Provider Identifier
1063457877
Registry record updated Feb 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2001023318 Issued in MO
Practice address
4201 S Noland Rd Ste U
Independence, MO 64055-7332
Phone
(816) 478-6224
Fax
(816) 478-3890
NPI assigned
Jun 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2001023318 MO Primary

Addresses

Primary practice location

4201 S Noland Rd Ste U
Independence, MO 64055-7332

Mailing address

4201 S Noland Rd Ste U
Independence, MO 64055-7332
Phone (816) 478-6224

Other practice location 1

14401 E 42nd St S
Suite 310
Independence, MO 64055-4753
Phone (816) 478-6224

Other identifiers 1

IdentifierTypeStateIssuer
32537016OtherMOBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060821000404 MO Practitioner - Chiropractic 7416950076 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4201 S Noland Rd
Suite U
Independence, MO 64055-7332
Phone (816) 478-6224

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2001023318MOMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Lamb Chiropractic P.C. Chiropractor CurrentSince May 1, 2006 Accepting new patients

Locations

14401 E 42nd St S
#310
Independence, MO 64055
Phone (816) 365-0294

4201 S Noland Rd
Ste U
Independence, MO 64055
Phone (816) 478-6224

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": "1150502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612828800000",
    "number": "1063457877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 S NOLAND RD STE U",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640557332",
            "telephone_number": "816-478-6224",
            "fax_number": "816-478-3890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 S NOLAND RD STE U",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640557332",
            "telephone_number": "816-478-6224",
            "fax_number": "816-478-3890"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14401 E 42nd St S",
            "address_2": "Suite 310",
            "address_purpose": "LOCATION",
            "city": "Independence",
            "state": "MO",
            "postal_code": "640554753",
            "country_code": "US",
            "telephone_number": "816-478-6224",
            "fax_number": "816-478-3890",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAMB",
        "first_name": "JEFFREY",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-17",
        "last_updated": "2021-02-09",
        "certification_date": "2021-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2001023318",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "32537016",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Independence, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.