Individual provider Active NPI

Michael Gordon Claassen, D.C.

  • Chiropractor
  • Whitewater, KS
National Provider Identifier
1467542910
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
T-00917 Issued in KS
Practice address
208 S. Elm St.
Whitewater, KS 67154
Phone
(316) 799-2779
Fax
(316) 799-2752
NPI assigned
Oct 13, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X T-00917 KS Primary

Addresses

Primary practice location

208 S. Elm St.
Whitewater, KS 67154

Mailing address

208 S. Elm St.
PO Box 336
Whitewater, KS 67154
Phone (316) 799-2779

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061120000626 KS Practitioner - Chiropractic 8426056789 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Matthew R. Gage, DC.,PA.Group PAC ID 4981693017, 2 clinicians

Practice addresses (Care Compare)

1701 E Madison Ave
Suite a
Derby, KS 67037-2079

1701 E Madison Ave a
Gage Chiropractic Center
Derby, KS 67037-2079
Phone (316) 788-3713

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
T-00917KSMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Matthew R. Gage, D.C.,P.a. Chiropractor CurrentSince Mar 15, 2010 Accepting new patients

Locations

1701 E Madison Ave
Ste A
Derby, KS 67037
Phone (316) 788-3713

Organizations & group practices 1

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": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467542910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 S. ELM ST.",
            "address_2": "PO BOX 336",
            "city": "WHITEWATER",
            "state": "KS",
            "postal_code": "67154",
            "telephone_number": "316-799-2779",
            "fax_number": "316-799-2752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 S. ELM ST.",
            "city": "WHITEWATER",
            "state": "KS",
            "postal_code": "67154",
            "telephone_number": "316-799-2779",
            "fax_number": "316-799-2752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAASSEN",
        "first_name": "MICHAEL",
        "middle_name": "GORDON",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "T-00917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whitewater, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.