Individual provider Active NPI

Ricardo Lerma Jr., D.C.

  • Chiropractor
  • Kansas City, MO
National Provider Identifier
1275675647
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2003004143 Issued in MO
Practice address
6600 E 87TH St
Kansas City, MO 64138-2733
Phone
(816) 353-7577
Fax
(816) 353-7578
NPI assigned
Feb 13, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2003004143 MO Primary

Addresses

Primary practice location

6600 E 87TH St
Kansas City, MO 64138-2733

Mailing address

2066 SW Rachel LN
Lees Summit, MO 64082-4065
Phone (816) 525-0941

Other identifiers 2

IdentifierTypeStateIssuer
7589489OtherMOAETNA PROVIDER NUMBER
32410018OtherMOBCBS PROVIDER #

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080529000489 AZ Practitioner - Chiropractic 3577462639 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

28255 N Tatum Blvd
Suite 106
Cave Creek, AZ 85331-6342

28255 N Tatum Blvd
Suite 106
Cave Creek, AZ 85331-6396
Phone (480) 656-0263

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2003004143MOMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Ricardo Lerma DC PLLC Chiropractor CurrentSince Apr 21, 2008 Accepting new patients
Dr. Ricardo Lerma D.C, P.C. Chiropractor Past Accepting new patients

Locations

28255 N Tatum Blvd
Ste 106
Cave Creek, AZ 85331
Phone (480) 656-0263

28255 N Tatum Blvd
#106
Cave Creek, AZ 85331
Phone (480) 656-0263

Organizations & group practices 2

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": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1275675647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2066 SW RACHEL LN",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640824065",
            "telephone_number": "816-525-0941",
            "fax_number": "816-353-7578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6600 E 87TH ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641382733",
            "telephone_number": "816-353-7577",
            "fax_number": "816-353-7578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LERMA",
        "first_name": "RICARDO",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-13",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2003004143",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER NUMBER",
            "identifier": "7589489",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER #",
            "identifier": "32410018",
            "state": "MO"
        }
    ],
    "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 Jul 9, 2007; 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.