Organization Active NPI

Barry Road Chiropractic Inc.

  • Chiropractor
  • Kansas City, MO
National Provider Identifier
1518083906
Registry record updated Apr 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
006699 Issued in NE
Legal business name
BARRY ROAD CHIROPRACTIC INC.
Practice address
6316 NW Barry Rd
Kansas City, MO 64154-2531
Phone
(816) 505-1772
Fax
(816) 505-1599
NPI assigned
Mar 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2019

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

Authorized official

Name
Dr. Michael R Emery, D.C.NPI 1770771065
Title
Owner
Phone
(816) 505-1772

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 006699 NE Primary

Addresses

Primary practice location

6316 NW Barry Rd
Kansas City, MO 64154-2531

Mailing address

6316 NW Barry Rd
Kansas City, MO 64154-2531
Phone (816) 505-1772

Other identifiers 2

IdentifierTypeStateIssuer
25154022OtherMOBLUE CROSSBLUE SHIELD LD
510881822OtherMOTAX ID USED WITH MOST INS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071204000506 MO Part B Supplier - Clinic/Group Practice 2860581402 Receives reassigned benefits from 1 practitioner
Practice locations: Kansas City, MO

National Provider Directory

National Provider Directory

Locations

6316 NW Barry Rd
Kansas City, MO 64154
Phone (816) 505-1772

Practitioners & affiliated clinicians

Practitioners 1

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": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554336000000",
    "number": "1518083906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6316 NW BARRY RD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641542531",
            "telephone_number": "816-505-1772",
            "fax_number": "816-505-1599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6316 NW BARRY RD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641542531",
            "telephone_number": "816-505-1772",
            "fax_number": "816-505-1599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARRY ROAD CHIROPRACTIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2019-04-04",
        "status": "A",
        "authorized_official_last_name": "EMERY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "816-505-1772",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "006699",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSSBLUE SHIELD LD",
            "identifier": "25154022",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID USED WITH MOST INS",
            "identifier": "510881822",
            "state": "MO"
        }
    ],
    "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 Apr 4, 2019; 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.