Active NPI
Sean Wattenbarger, DC
- Chiropractor
- Kansas City, MO
National Provider Identifier
1588211544
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2018013924
- Practice address
- 612 E 117TH Ter
Kansas City, MO 64131-3862 - Phone
- (816) 490-7888
- NPI assigned
- Aug 23, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2018013924 | MO | Primary |
Addresses
Primary practice location
612 E 117TH Ter
Kansas City, MO 64131-3862
Mailing address
612 E 117TH Ter
Kansas City, MO 64131-3862
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2018013924 | MO | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566518400000",
"number": "1588211544",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "612 E 117TH TER",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641313862"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "612 E 117TH TER",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641313862",
"telephone_number": "816-490-7888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATTENBARGER",
"first_name": "SEAN",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-08-23",
"last_updated": "2019-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MO",
"license": "2018013924",
"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 Aug 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.