Active NPI
Simon Ray Peery, D.C.
- Chiropractor
- Kansas City, MO
National Provider Identifier
1518292549
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 01-05254
- Practice address
- 811 E Linwood Blvd
Kansas City, MO 64109-1723 - Phone
- (816) 756-2500
- Fax
- (816) 531-5280
- NPI assigned
- Oct 8, 2009
- Sex
- Male
- Sole proprietor
- No
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 | 01-05254 | KS | Primary |
Addresses
Primary practice location
811 E Linwood Blvd
Kansas City, MO 64109-1723
Mailing address
811 E Linwood Blvd
Kansas City, MO 64109-1723
Phone (816) 756-2500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01-05254 | KS | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marvin'S Midtown Chiropractic Clinic, LLC | Chiropractor | Past | Accepting new patients |
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.
-
- Chiropractor
- Kansas City, MO
- NPI 1437521648
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1254960000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1445904000000",
"number": "1518292549",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "811 E LINWOOD BLVD",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641091723",
"telephone_number": "816-756-2500",
"fax_number": "816-531-5280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "811 E LINWOOD BLVD",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641091723",
"telephone_number": "816-756-2500",
"fax_number": "816-531-5280"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEERY",
"first_name": "SIMON",
"middle_name": "RAY",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-10-08",
"last_updated": "2015-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "KS",
"license": "01-05254",
"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 Oct 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.