Active NPI
David John Eisenmenger, D.C.
- Chiropractor
- Kansas City, MO
National Provider Identifier
1508158064
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1667
- Practice address
- 11720 Blue Ridge Blvd
Kansas City, MO 64134-3718 - Phone
- (913) 575-2410
- NPI assigned
- May 3, 2011
- 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 | 1667 | NE | Primary |
Addresses
Primary practice location
11720 Blue Ridge Blvd
Kansas City, MO 64134-3718
Mailing address
15615 Pacific St
Ste 6
Omaha, NE 68118-2118
Phone (913) 575-2410
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, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
11720 Blue Ridge Blvd
Kansas City, MO 64134-3718
Phone (816) 966-6400
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1667 | NE | MD | Occupational Therapist |
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1304380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490745600000",
"number": "1508158064",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15615 PACIFIC ST",
"address_2": "STE 6",
"city": "OMAHA",
"state": "NE",
"postal_code": "681182118",
"telephone_number": "913-575-2410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11720 BLUE RIDGE BLVD",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641343718",
"telephone_number": "913-575-2410"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EISENMENGER",
"first_name": "DAVID",
"middle_name": "JOHN",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-05-03",
"last_updated": "2017-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NE",
"license": "1667",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Mar 29, 2017; 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.