Organization Active NPI

John a Haywood DC PC

  • Chiropractor
  • Blue Springs, MO
National Provider Identifier
1205083946
Registry record updated Sep 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
006632 Issued in MO
Legal business name
JOHN A HAYWOOD DC PC
Practice address
815 NW Hunter Dr
Blue Springs, MO 64015-7722
Phone
(816) 228-6700
Fax
(816) 228-9110
NPI assigned
Aug 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2008

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

Authorized official

Name
Dr. John Andrew Haywood, DCNPI 1326122649
Title
Owner
Phone
(816) 228-6700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 006632 MO Primary

Addresses

Primary practice location

815 NW Hunter Dr
Blue Springs, MO 64015-7722

Mailing address

815 NW Hunter Dr
Blue Springs, MO 64015-7722
Phone (816) 228-6700

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080925000248 MO Part B Supplier - Clinic/Group Practice 2466529953 Receives reassigned benefits from 1 practitioner
Practice locations: Blue Springs, MO

National Provider Directory

National Provider Directory

Locations

2705 NW State Route 7
Blue Springs, MO 64014
Phone (816) 228-6700

815 NW Hunter Dr
Blue Springs, MO 64015
Phone (816) 228-6700

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1219622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221609600000",
    "number": "1205083946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 NW HUNTER DR",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640157722",
            "telephone_number": "816-228-6700",
            "fax_number": "816-228-9110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 NW HUNTER DR",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640157722",
            "telephone_number": "816-228-6700",
            "fax_number": "816-228-9110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN A HAYWOOD DC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-25",
        "last_updated": "2008-09-17",
        "status": "A",
        "authorized_official_last_name": "HAYWOOD",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "816-228-6700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "006632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blue Springs, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2008; 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.