Individual provider Active NPI

Elizabeth Thorne, DC

  • Chiropractor
  • Parkville, MO
National Provider Identifier
1225403892
Registry record updated Jan 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2015015202 Issued in MO
Practice address
6264 Lewis Dr Ste 101
Parkville, MO 64152-3668
Phone
(913) 353-5659
NPI assigned
Dec 8, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 2, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 01-05728 KS
Chiropractor 111N00000X 2015015202 MO Primary

Addresses

Primary practice location

6264 Lewis Dr Ste 101
Parkville, MO 64152-3668

Mailing address

22112 W 64TH Ter
Shawnee, KS 66226-3704

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170808003631 MO Practitioner - Chiropractic 9032480140 Reassigns benefits to 1 organization
I20191202000849 KS Practitioner - Chiropractic 9032480140 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kadolph Chiropractic LLCGroup PAC ID 1456686005, 3 clinicians

Practice addresses (Care Compare)

10841 W 87TH St
Suite 100
Overland Park, KS 66214-1660
Phone (913) 353-3377

6264 Lewis Dr
Suite 101
Parkville, MO 64152-3668
Phone (913) 353-5659

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Kadolph Chiropractic, LLC Chiropractor CurrentSince Nov 1, 2019 Accepting new patients
Elizabeth Thorne LLC Chiropractor CurrentSince May 26, 2017 Accepting new patients
Knudson & Kadolf Wellness Solutions, Inc. Chiropractor Past Accepting new patients

Locations

10841 W 87th St
Ste 100
Overland Park, KS 66214
Phone (913) 353-3377

6264 Lewis Dr
Ste 101
Parkville, MO 64152
Phone (913) 353-5659

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1449532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609545600000",
    "number": "1225403892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22112 W 64TH TER",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662263704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6264 LEWIS DR STE 101",
            "city": "PARKVILLE",
            "state": "MO",
            "postal_code": "641523668",
            "telephone_number": "913-353-5659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THORNE",
        "first_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-08",
        "last_updated": "2021-01-02",
        "certification_date": "2021-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "01-05728",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2015015202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parkville, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.