Organization Active NPI

City of Fountains Chiropractic, PC

  • Chiropractor
  • North Kansas City, MO
National Provider Identifier
1093195364
Registry record updated Jun 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2015011201 Issued in MO
Legal business name
CITY OF FOUNTAINS CHIROPRACTIC, PC
Practice address
405 E 19TH Ave Ste a
North Kansas City, MO 64116-3650
Phone
(816) 255-3042
NPI assigned
Jun 2, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2015

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

Authorized official

Name
Dr. Jennifer Kay Watts, D.C.
Title
President
Phone
(816) 255-3042

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2015011201 MO Primary

Addresses

Primary practice location

405 E 19TH Ave Ste a
North Kansas City, MO 64116-3650

Mailing address

405 E 19TH Ave Ste a
North Kansas City, MO 64116-3650
Phone (816) 255-3042

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1433203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433203200000",
    "number": "1093195364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 E 19TH AVE STE A",
            "city": "NORTH KANSAS CITY",
            "state": "MO",
            "postal_code": "641163650",
            "telephone_number": "816-255-3042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 E 19TH AVE STE A",
            "city": "NORTH KANSAS CITY",
            "state": "MO",
            "postal_code": "641163650",
            "telephone_number": "816-255-3042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF FOUNTAINS CHIROPRACTIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-02",
        "last_updated": "2015-06-02",
        "status": "A",
        "authorized_official_last_name": "WATTS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "816-255-3042",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2015011201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Kansas City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2015; 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.