Organization Active NPI

Arckcmo LLC

Doing business as Accident Rehab Clinic

  • Chiropractor
  • Kansas City, MO
National Provider Identifier
1619465945
Registry record updated Dec 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
ARCKCMO LLC
Doing business as
Accident Rehab Clinic
Practice address
4609 Paseo Blvd Ste 100
Kansas City, MO 64110-1843
Phone
(913) 424-0324
NPI assigned
Apr 23, 2018
Last updated
Dec 5, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2022

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

Authorized official

Name
Dr. Thayer BanwartNPI 1881076404
Title
Partner
Phone
(816) 779-1022

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 Primary

Addresses

Primary practice location

4609 Paseo Blvd Ste 100
Kansas City, MO 64110-1843

Mailing address

4609 Paseo Blvd Ste 100
Kansas City, MO 64110-1843

Other identifiers 1

IdentifierTypeStateIssuer
230101972MedicaidMO

Other names 1

  • Accident Rehab Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

4609 Paseo Blvd
Ste 100
Kansas City, MO 64110
Phone (785) 408-9952

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1524441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670198400000",
    "number": "1619465945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4609 PASEO BLVD STE 100",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641101843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4609 PASEO BLVD STE 100",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641101843",
            "telephone_number": "913-424-0324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARCKCMO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-23",
        "last_updated": "2022-12-05",
        "certification_date": "2022-12-05",
        "status": "A",
        "authorized_official_last_name": "BANWART",
        "authorized_official_first_name": "THAYER",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "816-779-1022",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "230101972",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Accident Rehab Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 5, 2022; 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.