Organization Active NPI

James S Waddell DC PC

Doing business as North Oak Chiropractic

  • Chiropractor
  • Gladstone, MO
National Provider Identifier
1467657585
Registry record updated Oct 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CE004436 Issued in MO
Legal business name
JAMES S WADDELL DC PC
Doing business as
North Oak Chiropractic
Practice address
6716 N Oak Trafficway
Gladstone, MO 64118-3345
Phone
(816) 436-7158
NPI assigned
Jun 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2010

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

Authorized official

Name
Dr. James Steven Waddell, D.C.
Title
President
Phone
(816) 436-7153

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CE004436 MO Primary

Addresses

Primary practice location

6716 N Oak Trafficway
Gladstone, MO 64118-3345

Mailing address

6716 N Oak Trfy
Gladstone, MO 64118-3345
Phone (816) 436-7158

Other identifiers 1

IdentifierTypeStateIssuer
752851907MedicaidMO

Other names 1

  • North Oak Chiropractic Doing business as

National Provider Directory

National Provider Directory

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": "1182211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286236800000",
    "number": "1467657585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6716 N OAK TRFY",
            "city": "GLADSTONE",
            "state": "MO",
            "postal_code": "641183345",
            "telephone_number": "816-436-7158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6716 N OAK TRAFFICWAY",
            "city": "GLADSTONE",
            "state": "MO",
            "postal_code": "641183345",
            "telephone_number": "816-436-7158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES S WADDELL DC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-19",
        "last_updated": "2010-10-05",
        "status": "A",
        "authorized_official_last_name": "WADDELL",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "816-436-7153",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "CE004436",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "752851907",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Oak Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gladstone, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2010; 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.