Organization Active NPI

Knudson Chiropractic P.C.

  • Chiropractor
  • Kansas City, MO
National Provider Identifier
1578830261
Registry record updated Nov 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
006638 Issued in MO
Legal business name
KNUDSON CHIROPRACTIC P.C.
Practice address
5008 NE 45TH Ter
Kansas City, MO 64117-1944
Phone
(816) 452-4250
Fax
(816) 452-4250
NPI assigned
Nov 22, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2011

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

Authorized official

Name
Dr. Don L Knudson, D.C.NPI 1942335369
Title
President
Phone
(816) 452-4250

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 006638 MO Primary

Addresses

Primary practice location

5008 NE 45TH Ter
Kansas City, MO 64117-1944

Mailing address

5008 NE 45TH Ter
Kansas City, MO 64117-1944
Phone (816) 452-4250

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120120000496 MO Part B Supplier - Clinic/Group Practice 3678740370 Receives reassigned benefits from 1 practitioner
Practice locations: Kansas City, MO

National Provider Directory

National Provider Directory

Locations

5008 NE 45th Ter
Kansas City, MO 64117
Phone (816) 452-1129

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1321920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321920000000",
    "number": "1578830261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5008 NE 45TH TER",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641171944",
            "telephone_number": "816-452-4250",
            "fax_number": "816-452-4250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5008 NE 45TH TER",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641171944",
            "telephone_number": "816-452-4250",
            "fax_number": "816-452-4250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KNUDSON CHIROPRACTIC P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-22",
        "last_updated": "2011-11-22",
        "status": "A",
        "authorized_official_last_name": "KNUDSON",
        "authorized_official_first_name": "DON",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "816-452-4250",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "006638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2011; 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.