Individual provider Active NPI

Curtis Louis Brennan, DC

  • Chiropractor
  • Lee's Summit, MO
National Provider Identifier
1376667394
Registry record updated Sep 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2000157559 Issued in MO
Practice address
229 NW Blue Parkway, Stec
Lees Summit, MO 64063-1800
Phone
(816) 347-9747
Fax
(816) 347-9748
NPI assigned
Mar 16, 2007
Last updated
Sep 16, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2000157559 MO Primary

Addresses

Primary practice location

229 NW Blue Parkway, Stec
Lees Summit, MO 64063-1800

Mailing address

229Nwblue Pkwy C
Lees Summit, MO 64063-1800
Phone (816) 347-9747

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070508000066 MO Practitioner - Chiropractic 9436255460 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 2000
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

600 SW Jefferson St
Suite 103
Lees Summit, MO 64063-3988
Phone (816) 347-9747

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2000157559MOMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Brennan Chiropractic LLC Chiropractor CurrentSince Feb 22, 2019 Accepting new patients
Gary a. Boring D.C. Chiropractor Past Accepting new patients

Locations

229 NW Blue Pkwy
Ste C
Lees Summit, MO 64063
Phone (816) 347-9747

600 SW Jefferson St
Ste 103
Lees Summit, MO 64063
Phone (816) 347-9747

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, 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": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442361600000",
    "number": "1376667394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229NWBLUE PKWY C",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640631800",
            "telephone_number": "816-347-9747",
            "fax_number": "816-347-9748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 NW BLUE PARKWAY, STEC",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640631800",
            "telephone_number": "816-347-9747",
            "fax_number": "816-347-9748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRENNAN",
        "first_name": "CURTIS",
        "middle_name": "LOUIS",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-16",
        "last_updated": "2015-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2000157559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lee's Summit, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2015; 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.