Organization Active NPI

C and N Ventures

  • Chiropractor
  • Kansas City, MO
National Provider Identifier
1104213883
Registry record updated Apr 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0006425 Issued in MO
Legal business name
C AND N VENTURES
Practice address
4321 NE Vivion Rd
Suite 102
Kansas City, MO 64119-2809
Phone
(816) 453-3331
Fax
(816) 453-3331
NPI assigned
Apr 21, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2015

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

Authorized official

Name
Nalisa L Pouliot, DCNPI 1952322604
Title
Chiropractor
Phone
(816) 453-3331

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 0006425 MO Primary

Addresses

Primary practice location

4321 NE Vivion Rd
Suite 102
Kansas City, MO 64119-2809

Mailing address

4321 NE Vivion Rd
Suite 102
Kansas City, MO 64119-2809
Phone (816) 453-3331

Other names 1

  • Pouliot Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160407001822 MO Part B Supplier - Clinic/Group Practice 0840598892 Receives reassigned benefits from 1 practitioner
Practice locations: Kansas City, MO

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1429574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429574400000",
    "number": "1104213883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4321 NE VIVION RD",
            "address_2": "SUITE 102",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641192809",
            "telephone_number": "816-453-3331",
            "fax_number": "816-453-3331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4321 NE VIVION RD",
            "address_2": "SUITE 102",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641192809",
            "telephone_number": "816-453-3331",
            "fax_number": "816-453-3331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C AND N VENTURES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-21",
        "last_updated": "2015-04-21",
        "status": "A",
        "authorized_official_last_name": "POULIOT",
        "authorized_official_first_name": "NALISA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "816-453-3331",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "0006425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pouliot Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kansas City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2015; 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.