Organization Active NPI

21St Century Chiropractic, P.C.

  • Chiropractor
  • Independence, MO
National Provider Identifier
1154639383
Registry record updated Jan 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
006087 Issued in MO
Legal business name
21ST CENTURY CHIROPRACTIC, P.C.
Practice address
17331 E US Highway 40
Suite 101
Independence, MO 64055-5337
Phone
(816) 373-4223
Fax
(816) 373-7264
NPI assigned
Sep 22, 2010
Last updated
Jan 11, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2011

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

Authorized official

Name
Kerstin Schmidt
Title
Office Manager
Phone
(816) 373-4223

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 006087 MO Primary

Addresses

Primary practice location

17331 E US Highway 40
Suite 101
Independence, MO 64055-5337

Mailing address

17331 E US Highway 40
Suite 101
Independence, MO 64055-5337

Other identifiers 1

IdentifierTypeStateIssuer
1154639383OtherMOGROUP NPI NUMBER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101026000897 MO Part B Supplier - Clinic/Group Practice 3577756238 Receives reassigned benefits from 1 practitioner
Practice locations: Independence, MO

National Provider Directory

National Provider Directory

Locations

17331 E US Highway 40
Ste 101
Independence, MO 64055
Phone (816) 373-4223

3600 S Noland Rd
Ste I
Independence, MO 64055
Phone (816) 373-4223

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1285113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294704000000",
    "number": "1154639383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17331 E US HIGHWAY 40",
            "address_2": "SUITE 101",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640555337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17331 E US HIGHWAY 40",
            "address_2": "SUITE 101",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640555337",
            "telephone_number": "816-373-4223",
            "fax_number": "816-373-7264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "21ST CENTURY CHIROPRACTIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-22",
        "last_updated": "2011-01-11",
        "status": "A",
        "authorized_official_last_name": "SCHMIDT",
        "authorized_official_first_name": "KERSTIN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "816-373-4223"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "006087",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI NUMBER",
            "identifier": "1154639383",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Independence, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2011; 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.