Individual provider Active NPI

Levi B Gonzalez, DC

  • Chiropractor
  • Blue Springs, MO
National Provider Identifier
1548021868
Registry record updated Jan 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2024001828 Issued in MO
Practice address
412 NW Mock Ave Ste a
Blue Springs, MO 64014-2541
Phone
(816) 224-3440
Fax
(816) 224-3442
NPI assigned
Jan 23, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2024001828 MO Primary

Addresses

Primary practice location

412 NW Mock Ave Ste a
Blue Springs, MO 64014-2541

Mailing address

412 NW Mock Ave Ste a
Blue Springs, MO 64014-2541
Phone (816) 224-3440

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240208000249 MO Practitioner - Chiropractic 3971946807 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Grain Valley Chiropractic, LLC Chiropractor CurrentSince Jul 1, 2024 Accepting new patients
Sunrise Chiropractic Acupuncture and Nutrition LLC Chiropractor CurrentSince Dec 25, 2023 Accepting new patients
Infinite Wellness of Kansas City CurrentSince Feb 5, 2025 Accepting new patients

Locations

412 NW Mock Ave
Ste A
Blue Springs, MO 64014
Phone (816) 220-9001

203 S Main St
#D
Grain Valley, MO 64029
Phone (816) 443-5485

350 SW Greenwich Dr
Lees Summit, MO 64082
Phone (816) 537-5995

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1705968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705968000000",
    "number": "1548021868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 NW MOCK AVE STE A",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640142541",
            "telephone_number": "816-224-3440",
            "fax_number": "816-224-3442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 NW MOCK AVE STE A",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640142541",
            "telephone_number": "816-224-3440",
            "fax_number": "816-224-3442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "LEVI",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-01-23",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2024001828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blue Springs, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2024; 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.