Organization Active NPI

Chiropractic Life Center PC

  • Chiropractor
  • Gladstone, MO
National Provider Identifier
1538112677
Registry record updated Feb 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
005977 Issued in MO
Legal business name
CHIROPRACTIC LIFE CENTER PC
Practice address
305 NW Englewood CT
Suite: 200
Gladstone, MO 64118-4072
Phone
(816) 454-5433
Fax
(816) 454-8455
NPI assigned
May 18, 2006
Last updated
Feb 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2008

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

Authorized official

Name
Ms. Elizabeth A Harris
Title
Office Manager
Phone
(816) 454-5433

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 005977 MO Primary

Addresses

Primary practice location

305 NW Englewood CT
Suite: 200
Gladstone, MO 64118-4072

Mailing address

305 NW Englewood CT
Suite: 200
Gladstone, MO 64118-4072
Phone (816) 454-5433

National Provider Directory

National Provider Directory

Locations

404 NW Englewood Rd
Kansas City, MO 64118
Phone (816) 454-5433

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203465600000",
    "number": "1538112677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 NW ENGLEWOOD CT",
            "address_2": "SUITE: 200",
            "city": "GLADSTONE",
            "state": "MO",
            "postal_code": "641184072",
            "telephone_number": "816-454-5433",
            "fax_number": "816-454-8455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 NW ENGLEWOOD CT",
            "address_2": "SUITE: 200",
            "city": "GLADSTONE",
            "state": "MO",
            "postal_code": "641184072",
            "telephone_number": "816-454-5433",
            "fax_number": "816-454-8455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC LIFE CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2008-02-20",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "816-454-5433",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "005977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gladstone, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2008; 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.