Individual provider Active NPI

Aaron Riedel, D.C.

  • Chiropractor
  • Lenexa, KS
National Provider Identifier
1578823381
Registry record updated Oct 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
01-05418 Issued in KS
Practice address
8724 Bourgade St
Lenexa, KS 66219-1440
Phone
(913) 299-6000
Fax
(913) 599-3673
NPI assigned
May 25, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2011019926 MO
Chiropractor 111N00000X 01-05418 KS Primary

Addresses

Primary practice location

8724 Bourgade St
Lenexa, KS 66219-1440

Mailing address

8724 Bourgade St
Lenexa, KS 66219-1440
Phone (913) 299-6000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210218000466 MO Practitioner - Chiropractic 9335379007 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 2012
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

5886 Osage Beach Pkwy
Suite B
Osage Beach, MO 65065-3040
Phone (573) 348-6640

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2011019926MOMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Family Chiropractic Clinic, PC Chiropractor CurrentSince Jan 1, 2021 Accepting new patients

Locations

5886 Osage Beach Pkwy
Ste B
Osage Beach, MO 65065
Phone (573) 348-6640

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.

NPI Registry JSON

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

{
    "created_epoch": "1337904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508976000000",
    "number": "1578823381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8724 BOURGADE ST",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662191440",
            "telephone_number": "913-299-6000",
            "fax_number": "913-599-3673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8724 BOURGADE ST",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662191440",
            "telephone_number": "913-299-6000",
            "fax_number": "913-599-3673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIEDEL",
        "first_name": "AARON",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-05-25",
        "last_updated": "2017-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2011019926",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "01-05418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lenexa, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2017; 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.