Organization Active NPI

New Life Chiropractic LLC

  • Chiropractor
  • Lees Summit, MO
National Provider Identifier
1447576335
Registry record updated Apr 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2007004600 Issued in MO
Legal business name
NEW LIFE CHIROPRACTIC LLC
Practice address
1008 SW Blue Pkwy
Lees Summit, MO 64063-2100
Phone
(816) 347-1515
NPI assigned
Apr 16, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2010

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

Authorized official

Name
Dr. Amanda R Campbell, D.C.
Title
Doctor/Business Owner
Phone
(816) 347-1515

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2007004600 MO Primary

Addresses

Primary practice location

1008 SW Blue Pkwy
Lees Summit, MO 64063-2100

Mailing address

1008 SW Blue Pkwy
Lees Summit, MO 64063-2100

Other identifiers 1

IdentifierTypeStateIssuer
1144355165OtherMONPI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100421000315 MO Part B Supplier - Clinic/Group Practice 8224165386 Receives reassigned benefits from 1 practitioner
Practice locations: Lees Summit, MO

National Provider Directory

National Provider Directory

Locations

1008 SW Blue Pkwy
Lees Summit, MO 64063
Phone (816) 347-1515

Practitioners & affiliated clinicians

Practitioners 2

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": "1271376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271376000000",
    "number": "1447576335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1008 SW BLUE PKWY",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640632100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1008 SW BLUE PKWY",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640632100",
            "telephone_number": "816-347-1515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW LIFE CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-16",
        "last_updated": "2010-04-16",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DOCTOR/BUSINESS OWNER",
        "authorized_official_telephone_number": "816-347-1515",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2007004600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1144355165",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lees Summit, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2010; 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.