Bijan Siadati, D.C

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2006011505 Issued in MO

Practice address

3566 Broadway St
Kansas City, MO 64111-2528

Phone

(816) 561-4444

Fax

(816) 561-1855

NPI assigned

Sep 14, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Chiro One Wellness Center of Blue Springs LLC

  • Chiropractor
  • Blue Springs, MO
  • NPI 1639875347
  Medicare reassignment NPD
• Chiro One Wellness Center of Liberty LLC

  • Chiropractor
  • Kansas City, MO
  • NPI 1770248320
  Medicare reassignment NPD
• Chiro One Wellness Center of Park Hill LLC

  • Chiropractor
  • Kansas City, MO
  • NPI 1356098123
  Medicare reassignment NPD
• Functional Health KC, LLC

  • Chiropractor
  • Overland Park, KS
  • NPI 1942384623
  NPD (past)

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1225133283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3566 BROADWAY ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641112528",
            "telephone_number": "816-561-4444",
            "fax_number": "816-561-1855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3566 BROADWAY ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641112528",
            "telephone_number": "816-561-4444",
            "fax_number": "816-561-1855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIADATI",
        "first_name": "BIJAN",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2006011505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mindi M Shupe
• Raina Jean Shupe
• David H. Shuss, M.D.
• Stefanie Anne Shustek, MD
• Kerry Shutt, FNP
• Jasmine Sickel
• Asad Hafeez Siddiqui
• Kathleen Lee Sidebottom
• Larry E Sidney, MA, LPC, NCC, LCSW
• Mary Siebert

• Chiropractor in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.