Organization Active NPI

Swickard Chiropractic Clinic, PC

  • Chiropractor
  • Kansas City, MO
National Provider Identifier
1215130380
Registry record updated Jan 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CE003047 Issued in MO
Legal business name
SWICKARD CHIROPRACTIC CLINIC, PC
Practice address
2518 NE 43Rd St
Kansas City, MO 64116-2449
Phone
(916) 452-0500
Fax
(816) 452-0565
NPI assigned
Jun 7, 2007
Last updated
Jan 24, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2008

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

Authorized official

Name
Mr. Kenneth R Swickard, D.C.
Title
Owner President
Phone
(816) 452-0500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CE003047 MO Primary

Addresses

Primary practice location

2518 NE 43Rd St
Kansas City, MO 64116-2449

Mailing address

2518 NE 43Rd St
Kansas City, MO 64116-2449
Phone (916) 452-0500

Other identifiers 1

IdentifierTypeStateIssuer
1790732121OtherMOUPI NUMBER

Other names 1

  • Swickard Clinic Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1181174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201132800000",
    "number": "1215130380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2518 NE 43RD ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641162449",
            "telephone_number": "916-452-0500",
            "fax_number": "816-452-0565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2518 NE 43RD ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641162449",
            "telephone_number": "916-452-0500",
            "fax_number": "816-452-0565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWICKARD CHIROPRACTIC CLINIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-07",
        "last_updated": "2008-01-24",
        "status": "A",
        "authorized_official_last_name": "SWICKARD",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "816-452-0500",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "CE003047",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPI NUMBER",
            "identifier": "1790732121",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Swickard Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Jan 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.