Individual provider Active NPI

Chris M McClenney, DC

  • Chiropractor
  • Gladstone, MO
National Provider Identifier
1275570780
Registry record updated Feb 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2003011573 Issued in MO
Practice address
305 NW Englewood CT
Suite: 200
Gladstone, MO 64118-4072
Phone
(816) 454-5433
Fax
(816) 454-8455
NPI assigned
Jun 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2003011573 MO Primary

Addresses

Primary practice location

305 NW Englewood CT
Suite: 200
Gladstone, MO 64118-4072

Mailing address

305 NW Englewood CT
Suite: 200
Gladstone, MO 64118-4072
Phone (816) 454-5433

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040828000177 MO Practitioner - Chiropractic 7810962321 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bridge Integrative Medicine LLCGroup PAC ID 9638426836, 2 clinicians

Practice addresses (Care Compare)

305 NW Englewood CT
Suite 200
Gladstone, MO 64118-4000
Phone (816) 454-5433

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bridge Integrative Medicine LLC CurrentSince Apr 1, 2019 Accepting new patients

Locations

305 NW Englewood Ct
Ste 200
Kansas City, MO 64118
Phone (816) 454-5433

Organizations & group practices 1

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": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203465600000",
    "number": "1275570780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 NW ENGLEWOOD CT",
            "address_2": "SUITE: 200",
            "city": "GLADSTONE",
            "state": "MO",
            "postal_code": "641184072",
            "telephone_number": "816-454-5433",
            "fax_number": "816-454-8455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 NW ENGLEWOOD CT",
            "address_2": "SUITE: 200",
            "city": "GLADSTONE",
            "state": "MO",
            "postal_code": "641184072",
            "telephone_number": "816-454-5433",
            "fax_number": "816-454-8455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLENNEY",
        "first_name": "CHRIS",
        "middle_name": "M",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-01",
        "last_updated": "2008-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2003011573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gladstone, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2008; 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.