Individual provider Active NPI

Taylor Boeckman, DC

  • Chiropractor
  • Kansas City, MO
National Provider Identifier
1114553443
Registry record updated Dec 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2021042982 Issued in MO
Practice address
1620 Locust St Ste 100
Kansas City, MO 64108-1475
Phone
(573) 645-0285
NPI assigned
Mar 18, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHR.0008180 CO
Chiropractor 111N00000X 2021042982 MO Primary

Addresses

Primary practice location

1620 Locust St Ste 100
Kansas City, MO 64108-1475

Mailing address

7311 Ward Pkwy
Kansas City, MO 64114-1231
Phone (573) 645-0285

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220609001654 MO Practitioner - Chiropractic 2961880596 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1620 Locust St
Suite 100
Kansas City, MO 64108-1475
Phone (816) 363-3500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHR.0008180COMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Flourish Family Chiropractic LLC Chiropractor CurrentSince Jun 28, 2020 Accepting new patients
Compass Chiropractic and Acupuncture LLC Chiropractor CurrentSince May 5, 2022 Accepting new patients

Locations

3780 N Garfield Ave
Ste 201
Loveland, CO 80538
Phone (970) 617-2972

1620 Locust St
Ste 100
Kansas City, MO 64108
Phone (816) 363-3500

Organizations & group practices 2

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": "1584489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640044800000",
    "number": "1114553443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7311 WARD PKWY",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641141231",
            "telephone_number": "573-645-0285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 LOCUST ST STE 100",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641081475",
            "telephone_number": "573-645-0285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOECKMAN",
        "first_name": "TAYLOR",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-18",
        "last_updated": "2021-12-21",
        "certification_date": "2021-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "CHR.0008180",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2021042982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Dec 21, 2021; 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.