Leatherman Clinic, Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2002020065 Issued in MO

Legal business name

LEATHERMAN CLINIC, INC.

Practice address

463 S Thompson Ave
Excelsior Springs, MO 64024-2133

Phone

(816) 637-5000

Fax

(816) 637-5370

NPI assigned

Oct 9, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Chris Leatherman, DC

Title

President

Phone

(816) 637-5000

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Christopher Leatherman, D.C.

  • Chiropractor
  • Baldwin City, KS
  • NPI 1689611964
  NPD (past)

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205971200000",
    "number": "1326236811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "463 S THOMPSON AVE",
            "city": "EXCELSIOR SPRINGS",
            "state": "MO",
            "postal_code": "640242133",
            "telephone_number": "816-637-5000",
            "fax_number": "816-637-5370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "463 S THOMPSON AVE",
            "city": "EXCELSIOR SPRINGS",
            "state": "MO",
            "postal_code": "640242133",
            "telephone_number": "816-637-5000",
            "fax_number": "816-637-5370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEATHERMAN CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-09",
        "last_updated": "2008-03-20",
        "status": "A",
        "authorized_official_last_name": "LEATHERMAN",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "816-637-5000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2002020065",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1689611964",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Manoch Kuangparichat, MD
• Kathy Marie Kunze, FNP
• Kirstyn Lanae Lafrenz, FNP
• James R Lasalle, DO
• Meredith Adair Leach, M.D.
• Amy Leavitt, RPH
• Carl E Ledbetter, DO
• Life Recovery Consulting LLC
• Aram Lila, M.D.
• Vanessa Lincoln, RN

• Chiropractor in Excelsior Springs, MO
• Providers in Excelsior Springs, MO by specialty
• Chiropractor in Missouri

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