Individual provider Active NPI

Tristin E Mette, D.C.

  • Rehabilitation Chiropractor
  • Lees Summit, MO
National Provider Identifier
1124467758
Registry record updated Jun 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
2013013303 Issued in MO
Practice address
1100 SE Century Dr
D
Lees Summit, MO 64081-3284
Phone
(605) 214-4327
NPI assigned
Jun 17, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Chiropractor 111NR0400X 2013013303 MO Primary

Addresses

Primary practice location

1100 SE Century Dr
D
Lees Summit, MO 64081-3284

Mailing address

3505 NW Nautical CT
L
Blue Springs, MO 64015-7029
Phone (605) 214-4327

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2013013303MOMDRehabilitation Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Grain Valley Chiropractic, LLC PastSince Aug 1, 2017 Accepting new patients

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": "1371427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371427200000",
    "number": "1124467758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3505 NW NAUTICAL CT",
            "address_2": "L",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640157029",
            "telephone_number": "605-214-4327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 SE CENTURY DR",
            "address_2": "D",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640813284",
            "telephone_number": "605-214-4327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "METTE",
        "first_name": "TRISTIN",
        "middle_name": "E",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-17",
        "last_updated": "2013-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "MO",
            "license": "2013013303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lees Summit, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2013; 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.