Organization Active NPI

Novak Chiropractic Clinic, P.a.

  • Chiropractor
  • Kansas City, KS
National Provider Identifier
1104934207
Registry record updated Mar 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0103260 Issued in KS
Legal business name
NOVAK CHIROPRACTIC CLINIC, P.A.
Practice address
9535 State Ave
Kansas City, KS 66111
Phone
(913) 788-7300
Fax
(913) 788-9679
NPI assigned
Aug 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2014

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

Authorized official

Name
Dr. Robert C Novak, DCNPI 1699797274
Title
Chiropractor
Phone
(913) 788-7300

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 0103260 KS Primary

Addresses

Primary practice location

9535 State Ave
Kansas City, KS 66111

Mailing address

9535 State Ave
Kansas City, KS 66111
Phone (913) 788-7300

Other identifiers 2

IdentifierTypeStateIssuer
14265014OtherKSBCBS KC
350077071OtherKSRAILROAD MEDICARE

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.

NPI Registry JSON

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

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393891200000",
    "number": "1104934207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9535 STATE AVE",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "66111",
            "telephone_number": "913-788-7300",
            "fax_number": "913-788-9679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9535 STATE AVE",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "66111",
            "telephone_number": "913-788-7300",
            "fax_number": "913-788-9679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVAK CHIROPRACTIC CLINIC, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-28",
        "last_updated": "2014-03-04",
        "status": "A",
        "authorized_official_last_name": "NOVAK",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "913-788-7300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "0103260",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS KC",
            "identifier": "14265014",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "350077071",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2014; 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.