Individual provider Active NPI

Marcus Peavler, DC

  • Chiropractor
  • Lenexa, KS
National Provider Identifier
1437877529
Registry record updated Aug 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
01-06200 Issued in KS
Practice address
16966 City Center Dr
Lenexa, KS 66219
Phone
(913) 308-0300
NPI assigned
Aug 16, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038.013878 IL
Chiropractor 111N00000X 01-06200 KS Primary

Addresses

Primary practice location

16966 City Center Dr
Lenexa, KS 66219

Mailing address

16966 City Center Dr
Lenexa, KS 66219

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220830000229 MO Practitioner - Chiropractic 2062896749 Reassigns benefits to 1 organization
I20230125001850 KS Practitioner - Chiropractic 2062896749 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pure Motion Chiropractic and Rehab LLCGroup PAC ID 1153628540, 2 clinicians

Practice addresses (Care Compare)

15945 W 65TH St
Shawnee, KS 66217-9342
Phone (913) 766-7292

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038.013878ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Pure Motion Chiropractic & Rehab, LLC Chiropractor CurrentSince May 1, 2023 Accepting new patients
Chiro One Wellness Center of Lenexa LLC Chiropractor CurrentSince Jan 1, 2023 Accepting new patients
Chiro One Wellness Center of Park Hill LLC Chiropractor CurrentSince Aug 21, 2022 Accepting new patients

Locations

16966 City Center Dr
#One
Lenexa, KS 66219
Phone (913) 308-0300

16966 City Center Dr
Lenexa, KS 66219
Phone (913) 308-0300

15945 W 65th St
Shawnee, KS 66217
Phone (316) 249-5555

6000 NW 63rd Ter
Kansas City, MO 64151
Phone (816) 708-4777

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1660608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660608000000",
    "number": "1437877529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16966 CITY CENTER DR",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "66219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16966 CITY CENTER DR",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "66219",
            "telephone_number": "913-308-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEAVLER",
        "first_name": "MARCUS",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-16",
        "last_updated": "2022-08-16",
        "certification_date": "2022-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.013878",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "01-06200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lenexa, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2022; 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.