Individual provider Active NPI

Kenri Honda, DC

  • Chiropractor
  • Kansas City, MO
National Provider Identifier
1285779041
Registry record updated Jan 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2002006767 Issued in MO
Practice address
9233 Ward Pkwy Ste 333
Kansas City, MO 64114-3349
Phone
(816) 444-0204
Fax
(816) 444-7933
NPI assigned
Feb 20, 2007
Last updated
Jan 3, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2002006767 MO Primary

Addresses

Primary practice location

9233 Ward Pkwy Ste 333
Kansas City, MO 64114-3349

Mailing address

9233 Ward Pkwy Ste 333
Kansas City, MO 64114-3349
Phone (816) 444-0204

Other identifiers 2

IdentifierTypeStateIssuer
36773017OtherBLUE CROSS BLUE SHIELD
9403072OtherPHCS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060130000796 MO Practitioner - Chiropractic 0749294890

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2002006767MOMDChiropractor

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294012800000",
    "number": "1285779041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9233 WARD PKWY STE 333",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641143349",
            "telephone_number": "816-444-0204",
            "fax_number": "816-444-7933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9233 WARD PKWY STE 333",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641143349",
            "telephone_number": "816-444-0204",
            "fax_number": "816-444-7933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HONDA",
        "first_name": "KENRI",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-20",
        "last_updated": "2011-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2002006767",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "36773017",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHCS",
            "identifier": "9403072",
            "state": null
        }
    ],
    "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 Jan 3, 2011; 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.