Individual provider Active NPI

Kenneth J Highley, DC

  • Chiropractor
  • Harrisonville, MO
National Provider Identifier
1326100546
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3511 Issued in MO
Practice address
105 E Mechanic
Harrisonville, MO 64701
Phone
(816) 884-3284
NPI assigned
Dec 14, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 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 3511 MO Primary

Addresses

Primary practice location

105 E Mechanic
Harrisonville, MO 64701

Mailing address

105 E Mechanic
Harrisonville, MO 64701
Phone (816) 884-3284

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100901000371 MO Practitioner - Chiropractic 3274657911 Practice locations: Harrisonville, MO

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1969
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

105 E Mechanic
Harrisonville, MO 64701-2461
Phone (816) 884-3284

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3511MOMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1326100546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 E MECHANIC",
            "city": "HARRISONVILLE",
            "state": "MO",
            "postal_code": "64701",
            "telephone_number": "816-884-3284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 E MECHANIC",
            "city": "HARRISONVILLE",
            "state": "MO",
            "postal_code": "64701",
            "telephone_number": "816-884-3284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIGHLEY",
        "first_name": "KENNETH",
        "middle_name": "J",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "3511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisonville, MO

Sources for this page

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