Ken D Alexander, DC

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

5908 Issued in MO

Practice address

3406 Broadway St
Suite a
Kansas City, MO 64111-2404

Phone

(816) 531-3300

NPI assigned

Sep 16, 2006

Last updated

Jul 8, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Dr. Kenneth Dale Alexander Jr. Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Midtown Health Center, LLC

  • Sports Physician Chiropractor
  • Kansas City, MO
  • NPI 1386873735
  NPD (past) Authorized official

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247011200000",
    "number": "1598861577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3406 BROADWAY ST",
            "address_2": "SUITE A",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641112404",
            "telephone_number": "816-531-3300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3406 BROADWAY ST",
            "address_2": "SUITE A",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641112404",
            "telephone_number": "816-531-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALEXANDER",
        "first_name": "KEN",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-16",
        "last_updated": "2009-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "MO",
            "license": "5908",
            "primary": true
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "KS",
            "license": "C-4046",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS NUMBER/CHIROPRACTIC",
            "identifier": "19016011",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KENNETH",
            "last_name": "ALEXANDER",
            "middle_name": "DALE",
            "prefix": "DR.",
            "suffix": "JR.",
            "credential": "DC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Brian G. Alexander, D.O.
• Christopher Alexander, LMAC
• Courtney Alexander
• Jay Scott Alexander, DPT
• Jillian C Alexander
• Kyrstin Alexander, DO
• Samantha Alexander, DO
• Lebonet Alfaro, RN
• Kelly Renee Alford, MD
• Erin Maureen Algeo, D.O.

• Sports Physician Chiropractor in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Sports Physician Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.