Revive Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2015000688 Issued in MO

Legal business name

REVIVE CHIROPRACTIC LLC

Practice address

7825 N Oak Trfy
Kansas City, MO 64118-1426

Phone

(816) 272-3580

Fax

(816) 256-2714

NPI assigned

Sep 24, 2015

Organization subpart

No

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

Authorized official

Name

Frank P Siraguso, DCNPI 1265821649

Title

Doctor

Phone

(816) 272-3580

Specialties & licenses 1

Addresses

Other names 2

• Siraguso Family Chiropractic Doing business as
• Siraguso Family Chiropractic LLC Former legal business name

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Locations

Practitioners 2

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

• Frank P Siraguso Jr., D.C.

  • Chiropractor
  • Kansas City, MO
  • NPI 1265821649
  Medicare reassignment NPD Authorized official
• Ashley Marie Noble-Amerson, D.C.

  • Chiropractor
  • Kearney, MO
  • NPI 1861750796
  NPD (past)

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

{
    "created_epoch": "1443052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642377600000",
    "number": "1437528023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7825 N OAK TRFY",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641181426",
            "telephone_number": "816-272-3580",
            "fax_number": "816-256-2714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7825 N OAK TRFY",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641181426",
            "telephone_number": "816-272-3580",
            "fax_number": "816-256-2714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVIVE CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-24",
        "last_updated": "2022-01-17",
        "certification_date": "2022-01-17",
        "status": "A",
        "authorized_official_last_name": "SIRAGUSO",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "816-272-3580",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2015000688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Siraguso Family Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Siraguso Family Chiropractic LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Restore Vascular and Vein Centers, LLC
• Restored Images Inc
• Karen H. Rethmeyer, D.D.S.
• Julie E Reust
• Stephanie Marie Revels, M.D.
• Valerie Jolena Rexin, BCBA, LBA
• Amanda L Rexwinkle, LCMFT, LMFT
• Neysha Milagros Reyes Cruz, CD
• Austin Joseph Reyes
• Chad Reyes, BCBA

• Chiropractor in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2022; 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.