Synergy Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2007017726 Issued in MO

Legal business name

SYNERGY CHIROPRACTIC LLC

Practice address

603A NE Woods Chapel Rd
Lees Summit, MO 64064-1900

Phone

(816) 886-2035

Fax

(816) 503-8941

NPI assigned

Nov 22, 2015

Last updated

Nov 22, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Drake Rustici, DCNPI 1194925602

Title

Owner

Phone

(816) 886-2035

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Locations

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.

• Drake Robert Rustici, D.C.

  • Chiropractor
  • Lee's Summit, MO
  • NPI 1194925602
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1448150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448150400000",
    "number": "1164896536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603A NE WOODS CHAPEL RD",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640641900",
            "telephone_number": "816-886-2035",
            "fax_number": "816-503-8941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603A NE WOODS CHAPEL RD",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640641900",
            "telephone_number": "816-886-2035",
            "fax_number": "816-503-8941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNERGY CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-22",
        "last_updated": "2015-11-22",
        "status": "A",
        "authorized_official_last_name": "RUSTICI",
        "authorized_official_first_name": "DRAKE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "816-886-2035",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2007017726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Dee Swisher
• Hina A Syed, MD
• Symbria RX Services Great Plains, LLC (Symbria Rx Services Great Plains)
• Joseph Wesley Symes, D.C.
• Scott J Symes, PSY.D.
• Anthony Szymankowski, PHARMD
• Justin Taber, PHARMD
• Malathi Tadakamalla, M.D.
• Robert Jack Takacs, M.D.
• Devon Talbert, NP

• Chiropractor in Lee's Summit, MO
• Providers in Lee's Summit, MO by specialty
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2015; 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.