Active NPI
Michael Ray Pardun, DC
- Chiropractor
- Blue Springs, MO
National Provider Identifier
1497937676
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 005569
- Practice address
- 3650 W Hwy 40
Blue Springs, MO 64015 - Phone
- (816) 229-8777
- NPI assigned
- Nov 29, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 005569 | MO | Primary |
Addresses
Primary practice location
3650 W Hwy 40
Blue Springs, MO 64015
Mailing address
3650 W Hwy 40
Blue Springs, MO 64015
Phone (816) 229-8777
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Cleveland Chiropractic College - Kansas City, 1987
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
3650 W 40 Hwy
Blue Springs, MO 64015-4500
Phone (816) 229-8777
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 005569 | MO | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pardun Family Chiropractic, P.C. | Chiropractor | Current | Accepting new patients |
| Curis Functional Health | Chiropractor | Past | Accepting new patients |
Locations
3650 W 40 Hwy
Blue Springs, MO 64015
Phone (816) 229-8777
Organizations & group practices 2
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.
-
- Chiropractor
- Blue Springs, MO
- NPI 1265547574
-
- Chiropractor
- Dallas, TX
- NPI 1023508116
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196294400000",
"number": "1497937676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3650 W HWY 40",
"city": "BLUE SPRINGS",
"state": "MO",
"postal_code": "64015",
"telephone_number": "816-229-8777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3650 W HWY 40",
"city": "BLUE SPRINGS",
"state": "MO",
"postal_code": "64015",
"telephone_number": "816-229-8777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARDUN",
"first_name": "MICHAEL",
"middle_name": "RAY",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-11-29",
"last_updated": "2007-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MO",
"license": "005569",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Blue Springs, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 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.