Jacqueline Jimenez, DC

Primary specialty

Orthopedic ChiropractorTaxonomy code 111NX0800X

License

2021037406 Issued in MO

Practice address

8560 N Green Hills Rd Ste 116
Kansas City, MO 64154-1697

Phone

(816) 205-8304

Fax

(816) 306-2093

NPI assigned

Dec 29, 2021

Last updated

Apr 30, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KS, MO2 enrollments

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Advanced Sports and Family Chiropractic, LLC

  • Chiropractor
  • Overland Park, KS
  • NPI 1376710293

  MO

  Medicare reassignment NPD

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

{
    "created_epoch": "1640736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745971200000",
    "number": "1144980319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8560 N GREEN HILLS RD STE 116",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641541697",
            "telephone_number": "816-205-8304",
            "fax_number": "816-306-2093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8560 N GREEN HILLS RD STE 116",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641541697",
            "telephone_number": "816-205-8304",
            "fax_number": "816-306-2093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENEZ",
        "first_name": "JACQUELINE",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-29",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NX0800X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Orthopedic",
            "state": "MO",
            "license": "2021037406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jill Rasa LLC
• Jill Smith, OD, LLC (Precision Optics)
• Jim Transportation LLC
• Ashley M Jimenez, PHARMD
• Glenda Jimenez, PLPC
• Jessica Jimenez, PLPC
• Miranda Alise Jimenez, DDS
• Jing Ye, OD., LLC
• JKM DME Inc
• JKR Labs, Inc. (New Life Hearing Center, Acme Hearing Aid Center)

• Orthopedic Chiropractor in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Orthopedic Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2025; 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.