NPIMap

Organization Active NPI

Radiant Health Chiropractic, LLC

  • Chiropractor
  • Lee's Summit, MO
National Provider Identifier
1265612063
Registry record updated Nov 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4070 Issued in MO
Legal business name
RADIANT HEALTH CHIROPRACTIC, LLC
Practice address
111 NW Teakwood St
Lees Summit, MO 64064-1438
Phone
(816) 350-0860
Fax
(816) 350-0860
NPI assigned
Nov 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2007

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

Authorized official

Name
Dr. David Alan Tribble, D.C.NPI 1306914262
Title
Owner/Manager
Phone
(816) 350-0860

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 4070 MO Primary

Addresses

Primary practice location

111 NW Teakwood St
Lees Summit, MO 64064-1438

Mailing address

111 NW Teakwood St
Lees Summit, MO 64064-1438
Phone (816) 350-0860

Other identifiers 2

IdentifierTypeStateIssuer
27115022OtherGROUP BCBS NUMBER
27116021OtherINDIVIDUAL BC/BS NUMBER

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1194480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194480000000",
    "number": "1265612063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 NW TEAKWOOD ST",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640641438",
            "telephone_number": "816-350-0860",
            "fax_number": "816-350-0860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 NW TEAKWOOD ST",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640641438",
            "telephone_number": "816-350-0860",
            "fax_number": "816-350-0860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIANT HEALTH CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-08",
        "last_updated": "2007-11-08",
        "status": "A",
        "authorized_official_last_name": "TRIBBLE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "816-350-0860",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "4070",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP BCBS NUMBER",
            "identifier": "27115022",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL BC/BS NUMBER",
            "identifier": "27116021",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lee's Summit, MO

Sources for this page

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