Individual provider Active NPI

Thomas Kennedy, DC

  • Chiropractor
  • Blue Springs, MO
National Provider Identifier
1104522762
Registry record updated Feb 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2023001821 Issued in MO
Practice address
2307 NW South Outer Rd Ste 101
Blue Springs, MO 64015-1712
Phone
(816) 745-4532
NPI assigned
Feb 6, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2023001821 MO Primary

Addresses

Primary practice location

2307 NW South Outer Rd Ste 101
Blue Springs, MO 64015-1712

Mailing address

4076 SW Normandy Dr
Lees Summit, MO 64082-4724
Phone (630) 742-7679

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230217000602 MO Practitioner - Chiropractic 7113399544 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Align Chiropractic Clinic LLCGroup PAC ID 5395978704, 4 clinicians

Practice addresses (Care Compare)

3237 W Truman Blvd
Suite 100
Jefferson City, MO 65109-6944
Phone (573) 635-4827

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Align Chiropractic Clinic LLC CurrentSince Jan 1, 2024 Accepting new patients

Locations

1739 E Elm St
Align Chiropractic Clinic E LLC
Jefferson City, MO 65101
Phone (573) 635-4747

1739 E Elm St
Align Chiro E LLC
Jefferson City, MO 65101
Phone (573) 635-4747

3237 W Truman Blvd
Ste 100
Jefferson Cty, MO 65109
Phone (573) 635-0062

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": "1675641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675728000000",
    "number": "1104522762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4076 SW NORMANDY DR",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640824724",
            "telephone_number": "630-742-7679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2307 NW SOUTH OUTER RD STE 101",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640151712",
            "telephone_number": "816-745-4532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "THOMAS",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-02-06",
        "last_updated": "2023-02-07",
        "certification_date": "2023-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2023001821",
            "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 Feb 7, 2023; 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.