The Movement Clinic, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

01-05708 Issued in KS

Legal business name

THE MOVEMENT CLINIC, LLC

Practice address

9601 W 87TH St
Overland Park, KS 66212-4570

Phone

(913) 449-2295

NPI assigned

Jun 17, 2015

Organization subpart

No

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

Authorized official

Name

Angela Conway, DC

Title

Owner

Phone

(913) 449-2295

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1434499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434499200000",
    "number": "1346621182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9601 W 87TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662124570",
            "telephone_number": "913-449-2295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9601 W 87TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662124570",
            "telephone_number": "913-449-2295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MOVEMENT CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-17",
        "last_updated": "2015-06-17",
        "status": "A",
        "authorized_official_last_name": "CONWAY",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "913-449-2295",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "01-05708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2015; 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.