Organization Active NPI

One Life Chiropractic PC

  • Chiropractor
  • Kansas City, MO
National Provider Identifier
1497285662
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2016022435 Issued in MO
Legal business name
ONE LIFE CHIROPRACTIC PC
Doing business as
My Chiropractor KC
Practice address
900 W 17TH St
Kansas City, MO 64108-1108
Phone
(816) 656-1535
Fax
(855) 276-2178
NPI assigned
Jun 19, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. David Jennings, DCNPI 1518496488
Title
Owner
Phone
(816) 656-1535

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 2016022435 MO Primary

Addresses

Primary practice location

900 W 17TH St
Kansas City, MO 64108-1108

Mailing address

900 W 17TH St
Kansas City, MO 64108-1108
Phone (816) 656-1535

Other names 1

  • My Chiropractor KC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170728001540 MO Part B Supplier - Clinic/Group Practice 8921378613 Receives reassigned benefits from 1 practitioner
Practice locations: Kansas City, MO

National Provider Directory

National Provider Directory

Locations

1656 Washington St
Ste 120
Kansas City, MO 64108
Phone (816) 656-1535

900 W 17th St
Kansas City, MO 64108
Phone (816) 656-1535

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": "1497830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1497285662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 W 17TH ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641081108",
            "telephone_number": "816-656-1535",
            "fax_number": "855-276-2178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 W 17TH ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641081108",
            "telephone_number": "816-656-1535",
            "fax_number": "855-276-2178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONE LIFE CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-19",
        "last_updated": "2022-07-21",
        "certification_date": "2021-04-25",
        "status": "A",
        "authorized_official_last_name": "JENNINGS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "816-656-1535",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2016022435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "My Chiropractor KC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 21, 2022; 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.