Organization Active NPI

Cleveland University Kansas City

  • Chiropractor
  • Overland Park, KS
National Provider Identifier
1558754341
Registry record updated Nov 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
CLEVELAND UNIVERSITY KANSAS CITY
Practice address
10850 Lowell Ave
Overland Park, KS 66210-1613
Phone
(913) 234-0700
NPI assigned
Mar 18, 2015
Last updated
Nov 16, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2016

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

Authorized official

Name
David Clark Beckley, DC
Title
Authorized Official
Phone
(913) 234-0700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

10850 Lowell Ave
Overland Park, KS 66210-1613

Mailing address

10850 Lowell Ave
Overland Park, KS 66210-1613
Phone (913) 234-0700

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160527001587 KS Part B Supplier - Clinic/Group Practice 8921065681 Receives reassigned benefits from 18 practitioners
Practice locations: Overland Park, KS

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

10850 Lowell Ave
Overland Park, KS 66210
Phone (620) 339-5386

Practitioners & affiliated clinicians

Practitioners 22

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.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1426636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479254400000",
    "number": "1558754341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10850 LOWELL AVE",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662101613",
            "telephone_number": "913-234-0700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10850 LOWELL AVE",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662101613",
            "telephone_number": "913-234-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEVELAND UNIVERSITY KANSAS CITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-18",
        "last_updated": "2016-11-16",
        "status": "A",
        "authorized_official_last_name": "BECKLEY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "CLARK",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "913-234-0700",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2016; 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.