Individual provider Active NPI

Michael Ray Pardun, DC

  • Chiropractor
  • Blue Springs, MO
National Provider Identifier
1497937676
Registry record updated Nov 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
005569 Issued in MO
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

Updated by the provider on Nov 29, 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 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

Enrollment IDStateProvider typePAC IDDetails
I20071220000678 MO Practitioner - Chiropractic 3375633886 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
005569MOMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Pardun Family Chiropractic, P.C. Chiropractor CurrentSince Aug 2, 1988 Accepting new patients
Curis Functional Health Chiropractor PastSince May 5, 2026 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.

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.

Verify at the official NPI Registry.