Organization Active NPI

Natural Way Chiropractic Center of Lee'S Summit, LLC

  • Chiropractor
  • Lees Summit, MO
National Provider Identifier
1245480615
Registry record updated Sep 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2007038067 Issued in MO
Legal business name
NATURAL WAY CHIROPRACTIC CENTER OF LEE'S SUMMIT, LLC
Practice address
1186 NE Douglas St
Lees Summit, MO 64086-4602
Phone
(816) 525-9393
Fax
(816) 525-9385
NPI assigned
Sep 23, 2008
Organization subpart
Yes
Parent organization
NATURAL WAY CHIROPRACTIC CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 23, 2008

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

Authorized official

Name
Dr. Shane Louis Oliverius, D.C.
Title
Doctor of Chiropractic
Phone
(816) 525-9393

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2007038067 MO Primary

Addresses

Primary practice location

1186 NE Douglas St
Lees Summit, MO 64086-4602

Mailing address

1186 NE Douglas St
Lees Summit, MO 64086-4602
Phone (816) 525-9393

National Provider Directory

National Provider Directory
Part of
Natural Way Chiropractic

Locations

1186 NE Douglas St
Lees Summit, MO 64086
Phone (785) 312-0487

Practitioners & affiliated clinicians

Practitioners 1

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": "1222128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222128000000",
    "number": "1245480615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1186 NE DOUGLAS ST",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640864602",
            "telephone_number": "816-525-9393",
            "fax_number": "816-525-9385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1186 NE DOUGLAS ST",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640864602",
            "telephone_number": "816-525-9393",
            "fax_number": "816-525-9385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATURAL WAY CHIROPRACTIC CENTER OF LEE'S SUMMIT, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NATURAL WAY CHIROPRACTIC CENTER",
        "enumeration_date": "2008-09-23",
        "last_updated": "2008-09-23",
        "status": "A",
        "authorized_official_last_name": "OLIVERIUS",
        "authorized_official_first_name": "SHANE",
        "authorized_official_middle_name": "LOUIS",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "816-525-9393",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2007038067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lees Summit, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.