Individual provider Active NPI

Emilio A John, D.C., M.S.

  • Chiropractor
  • Lenexa, KS
National Provider Identifier
1073669917
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
01-3994 Issued in KS
Practice address
15545 W. 87TH St. Parkway
Lenexa, KS 66219
Phone
(913) 894-0770
Fax
(913) 894-4427
NPI assigned
Jan 25, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 01-3994 KS Primary

Addresses

Primary practice location

15545 W. 87TH St. Parkway
Lenexa, KS 66219

Mailing address

15545 W. 87TH St. Parkway
Lenexa, KS 66219
Phone (913) 894-0770

Other identifiers 5

IdentifierTypeStateIssuer
2360489OtherKSAETNA
495978OtherKSBC KS
15671030OtherKSBLUE CROSS BLUE SHIELD KC
44-08041OtherKSUHC
143961OtherKSCOVENTRY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050715000821 KS Practitioner - Chiropractic 1254367659 Practice locations: Lenexa, KS

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

15545 W 87TH St Pkwy
Lenexa, KS 66219-1434
Phone (913) 894-0770

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
01-3994KSMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Overland Chiropractic Health Services PA Chiropractor Past Accepting new patients
Arthur Chiropractic, LLC Chiropractor Past Accepting new patients

Organizations & group practices 2

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": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1073669917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15545 W. 87TH ST. PARKWAY",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "66219",
            "telephone_number": "913-894-0770",
            "fax_number": "913-894-4427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15545 W. 87TH ST. PARKWAY",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "66219",
            "telephone_number": "913-894-0770",
            "fax_number": "913-894-4427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHN",
        "first_name": "EMILIO",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.C., M.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-25",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "01-3994",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2360489",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC KS",
            "identifier": "495978",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD KC",
            "identifier": "15671030",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC",
            "identifier": "44-08041",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COVENTRY",
            "identifier": "143961",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lenexa, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.