Active NPI
Michael J Griffin, DC
- Chiropractor
- Overland Park, KS
National Provider Identifier
1609895788
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 01-04890
- Practice address
- Functional Health KC
6871 W. 91St St.
Overland Park, KS 66212 - Phone
- (913) 381-0740
- Fax
- (913) 381-0738
- NPI assigned
- Jul 19, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4890 | KS | |
| Chiropractor | 111N00000X | 01-04890 | KS | Primary |
Addresses
Primary practice location
Functional Health KC
6871 W. 91St St.
Overland Park, KS 66212
Mailing address
6871 W. 91St St.
Overland Park, KS 66212
Phone (913) 381-0740
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4402259 | Other | KS | UNITED HEALTH CARE # |
| 34117017 | Other | KS | BLUE CROSS BLUE SHIELD # |
Other names 1
- Dr. Michael J Trump
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Cleveland Chiropractic College - Kansas City, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6871 W 91St St
Overland Park, KS 66212-1459
Phone (913) 381-0740
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4890 | KS | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Functional Health KC, LLC | Chiropractor | Current | Accepting new patients |
Locations
6871 W 91st St
Overland Park, KS 66212
Phone (913) 381-0740
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.
-
- Chiropractor
- Overland Park, KS
- NPI 1942384623
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686528000000",
"number": "1609895788",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6871 W. 91ST ST.",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "66212",
"telephone_number": "913-381-0740",
"fax_number": "913-381-0738"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "FUNCTIONAL HEALTH KC",
"address_2": "6871 W. 91ST ST.",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "66212",
"telephone_number": "913-381-0740",
"fax_number": "913-381-0738"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRIFFIN",
"first_name": "MICHAEL",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-19",
"last_updated": "2023-06-12",
"certification_date": "2023-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "KS",
"license": "4890",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "KS",
"license": "01-04890",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE #",
"identifier": "4402259",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD #",
"identifier": "34117017",
"state": "KS"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MICHAEL",
"last_name": "TRUMP",
"middle_name": "J",
"prefix": "DR.",
"credential": "DC",
"code": "1",
"type": "Former Name"
}
]
}
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 Jun 12, 2023; 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.