Organization Active NPI

Kansas City Chiropractic, P.C.

  • Sports Physician Chiropractor
  • Kansas City, MO
National Provider Identifier
1235321001
Registry record updated Aug 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
2002030424 Issued in MO
Legal business name
KANSAS CITY CHIROPRACTIC, P.C.
Practice address
4700 Belleview Ave
Suite L12
Kansas City, MO 64112-1378
Phone
(816) 753-4600
Fax
(816) 753-4620
NPI assigned
Aug 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2007

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

Authorized official

Name
Dr. Lynn L McIntosh, D.C.NPI 1568402394
Title
Licensed Professional Chiropractor
Phone
(816) 753-4600

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
Sports Physician ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NS0005X 2002030424 MO Primary

Addresses

Primary practice location

4700 Belleview Ave
Suite L12
Kansas City, MO 64112-1378

Mailing address

4700 Belleview Ave
Suite L12
Kansas City, MO 64112-1378
Phone (816) 753-4600

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031111000869 MO Part B Supplier - Clinic/Group Practice 5496668725 Receives reassigned benefits from 1 practitioner
Practice locations: Kansas City, MO

National Provider Directory

National Provider Directory

Locations

4510 Belleview Ave
Ste 100
Kansas City, MO 64111
Phone (816) 753-4600

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": "1187136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187136000000",
    "number": "1235321001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 BELLEVIEW AVE",
            "address_2": "SUITE L12",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641121378",
            "telephone_number": "816-753-4600",
            "fax_number": "816-753-4620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 BELLEVIEW AVE",
            "address_2": "SUITE L12",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641121378",
            "telephone_number": "816-753-4600",
            "fax_number": "816-753-4620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KANSAS CITY CHIROPRACTIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-15",
        "last_updated": "2007-08-15",
        "status": "A",
        "authorized_official_last_name": "MCINTOSH",
        "authorized_official_first_name": "LYNN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL CHIROPRACTOR",
        "authorized_official_telephone_number": "816-753-4600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "MO",
            "license": "2002030424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 15, 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.