Organization Active NPI

Functional Chiropractic

  • Chiropractor
  • Kansas City, MO
National Provider Identifier
1437860145
Registry record updated Feb 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
FUNCTIONAL CHIROPRACTIC
Practice address
5722 N Broadway St Ste E
Kansas City, MO 64118-3997
Phone
(816) 605-4926
Fax
(855) 581-9563
NPI assigned
Dec 13, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2023

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

Authorized official

Name
Amanda Waters, DCNPI 1154715696
Title
Owner
Phone
(816) 605-4926

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

5722 N Broadway St Ste E
Kansas City, MO 64118-3997

Mailing address

5722 N Broadway St Ste E
Kansas City, MO 64118-3997
Phone (816) 605-4926

National Provider Directory

National Provider Directory

Locations

5722 N Broadway St
Ste E
Kansas City, MO 64118
Phone (816) 605-4926

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1670889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676937600000",
    "number": "1437860145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5722 N BROADWAY ST STE E",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641183997",
            "telephone_number": "816-605-4926",
            "fax_number": "855-581-9563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5722 N BROADWAY ST STE E",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641183997",
            "telephone_number": "816-605-4926",
            "fax_number": "855-581-9563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUNCTIONAL CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-13",
        "last_updated": "2023-02-21",
        "certification_date": "2023-02-21",
        "status": "A",
        "authorized_official_last_name": "WATERS",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "816-605-4926",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2023; 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.