Individual provider Active NPI

Kolton Riley Buer, DC

  • Sports Physician Chiropractor
  • Shawnee, KS
National Provider Identifier
1528726064
Registry record updated Dec 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
01-06148 Issued in KS
Practice address
10610 Shawnee Mission Pkwy Ste 210
Shawnee, KS 66203-3501
Phone
(913) 248-9500
NPI assigned
Dec 1, 2021
Last updated
Dec 1, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician Chiropractor 111NS0005X 01-06148 KS Primary

Addresses

Primary practice location

10610 Shawnee Mission Pkwy Ste 210
Shawnee, KS 66203-3501

Mailing address

3017 McGee St
Kansas City, MO 64108-3232
Phone (316) 680-6759

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220921002603 MO Practitioner - Chiropractic 5395136006 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Myocore LLCGroup PAC ID 9830267277, 30 clinicians

Practice addresses (Care Compare)

2310 Holmes St
Suite 704
Kansas City, MO 64108-2602
Phone (816) 404-6489

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Myocore, LLC CurrentSince Sep 15, 2022 Accepting new patients
Myocore, LLC PastSince Oct 10, 2021 Accepting new patients
Active Chiropractic, P.a. PastSince Dec 5, 2021 Accepting new patients

Locations

2625 Butterfield Rd
Ste 301N
Oak Brook, IL 60523
Phone (800) 613-0922

2310 Holmes St
Ste 704
Kansas City, MO 64108
Phone (816) 404-6489

7900 Lees Summit Rd
Kansas City, MO 64139
Phone (816) 373-4485

601 SE Melody Ln
Ste 101
Lees Summit, MO 64063

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1638316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638316800000",
    "number": "1528726064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3017 MCGEE ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641083232",
            "telephone_number": "316-680-6759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10610 SHAWNEE MISSION PKWY STE 210",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662033501",
            "telephone_number": "913-248-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUER",
        "first_name": "KOLTON",
        "middle_name": "RILEY",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-12-01",
        "last_updated": "2021-12-01",
        "certification_date": "2021-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "KS",
            "license": "01-06148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shawnee, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2021; 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.