Active NPI
21St Century Chiropractic, P.C.
- Chiropractor
- Independence, MO
National Provider Identifier
1154639383
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 006087
- 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, 2011
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154639383 | Other | MO | GROUP NPI NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.
-
- Chiropractor
- Independence, MO
- NPI 1639288905
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.