Active NPI
Richard Nicholas Destefano, DC
- Chiropractor
- Kansas City, MO
National Provider Identifier
1164476776
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 04217
- Practice address
- 8301 State Line Rd
#210
Kansas City, MO 64114 - Phone
- (816) 333-3700
- NPI assigned
- May 19, 2006
- Last updated
- Jul 13, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 04217 | MO | Primary |
Addresses
Primary practice location
8301 State Line Rd
#210
Kansas City, MO 64114
Mailing address
8301 State Line Rd
#210
Kansas City, MO 64114
Phone (816) 333-3700
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
| License | State | Type | Specialty |
|---|---|---|---|
| 04217 | MO | MD | Chiropractor |
| 004217 | MO | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1164476776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8301 STATE LINE RD",
"address_2": "#210",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "64114",
"telephone_number": "816-333-3700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8301 STATE LINE RD",
"address_2": "#210",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "64114",
"telephone_number": "816-333-3700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DESTEFANO",
"first_name": "RICHARD",
"middle_name": "NICHOLAS",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-19",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MO",
"license": "04217",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kansas City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.