Kimberly Idleburg, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2014018402 Issued in MO

Practice address

400 E Red Bridge Rd Ste 210
Kansas City, MO 64131-4030

Phone

(816) 832-8582

NPI assigned

Jun 23, 2014

Last updated

Oct 2, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1403481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538438400000",
    "number": "1508271131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1214 E 116TH TER APT 6",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641314540",
            "telephone_number": "636-221-2528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E RED BRIDGE RD STE 210",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641314030",
            "telephone_number": "816-832-8582"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1901 NW Blue Pkwy",
            "address_purpose": "LOCATION",
            "city": "Unity Village",
            "state": "MO",
            "postal_code": "640650001",
            "country_code": "US",
            "telephone_number": "816-612-8749",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IDLEBURG",
        "first_name": "KIMBERLY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-23",
        "last_updated": "2018-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2014018402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diane Ide
• Whitney Blake Ide, M.A., P.L.P.C.
• Ann Omorovbiye Idemundia-Bryant, M.D.
• Sonny Ezebulunwor Ideozu, M.D.
• Joanita Idicula
• Phyllis Idun
• Grace Aina Ighedosa
• Emily Michelle Iglar, PHARMD, BCPS
• Ignite Medical Resort Carondelet, LLC
• Ignite Medical Resort Kansas City LLC

• Chiropractor in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2018; 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.