Michael D Page, D.C., D.A.C.R.B.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

003853 Issued in MO

Practice address

14810 E 42ND St S
Suite 100
Independence, MO 64055-4775

Phone

(816) 461-5113

Fax

(816) 836-0285

NPI assigned

Aug 31, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1125446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279152000000",
    "number": "1154314532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14810 E 42ND ST S",
            "address_2": "SUITE 100",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640554775",
            "telephone_number": "816-461-5113",
            "fax_number": "816-836-0285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14810 E 42ND ST S",
            "address_2": "SUITE 100",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640554775",
            "telephone_number": "816-461-5113",
            "fax_number": "816-836-0285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAGE",
        "first_name": "MICHAEL",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "D.C., D.A.C.R.B.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-31",
        "last_updated": "2010-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "003853",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "19388027",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ezenwa Kevin Osuala, ARNP
• Juliet Uloma Osunka
• P & C Consultant Services
• P&C Healthcare LLC
• Sarat Chandra Pachalla, M.D.
• Keatyn Davae Paige
• H C Palmer, M.D.
• Karol Palmer
• Stephen D Palmer, LCSW
• Susan E Palmore, LCSW

• Chiropractor in Independence, MO
• Providers in Independence, MO by specialty
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2010; 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.