Organization Active NPI

Sunrise Chiropractic Acupuncture and Nutrition LLC

  • Chiropractor
  • Blue Springs, MO
National Provider Identifier
1093981441
Registry record updated May 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
006622 Issued in MO
Legal business name
SUNRISE CHIROPRACTIC ACUPUNCTURE AND NUTRITION LLC
Practice address
412 NW Mock Ave
Suite a
Blue Springs, MO 64014-2511
Phone
(816) 224-3440
NPI assigned
May 6, 2008
Last updated
May 29, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2008

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

Authorized official

Name
Christy Garde, DC
Title
Owner
Phone
(816) 224-3440

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 006622 MO Primary

Addresses

Primary practice location

412 NW Mock Ave
Suite a
Blue Springs, MO 64014-2511

Mailing address

412 NW Mock Ave
Suite a
Blue Springs, MO 64014-2511
Phone (816) 224-3440

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080520000627 MO Part B Supplier - Clinic/Group Practice 9739258559 Receives reassigned benefits from 2 practitioners
Practice locations: Blue Springs, MO

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1210032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212019200000",
    "number": "1093981441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 NW MOCK AVE",
            "address_2": "SUITE A",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640142511",
            "telephone_number": "816-224-3440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 NW MOCK AVE",
            "address_2": "SUITE A",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640142511",
            "telephone_number": "816-224-3440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE CHIROPRACTIC ACUPUNCTURE AND NUTRITION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-06",
        "last_updated": "2008-05-29",
        "status": "A",
        "authorized_official_last_name": "GARDE",
        "authorized_official_first_name": "CHRISTY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "816-224-3440",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "006622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blue Springs, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.