NPIMap

Organization Active NPI

Myocore, LLC

  • Chiropractor
  • Overland Park, KS
National Provider Identifier
1619649944
Registry record updated Oct 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
MYOCORE, LLC
Practice address
12140 Nall Ave Ste 115
Overland Park, KS 66209-2503
Phone
(913) 257-5530
NPI assigned
Oct 5, 2021
Last updated
Oct 5, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2021

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

Authorized official

Name
Jason Freeman MossNPI 1538290945
Title
DC
Phone
(816) 404-9120

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

12140 Nall Ave Ste 115
Overland Park, KS 66209-2503

Mailing address

601 SE Melody LN Ste 101
Lees Summit, MO 64063-4804
Phone (816) 219-1977

National Provider Directory

National Provider Directory
Tax ID family
KC Chiropractic Occupational Rehabilitation Exercise LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

601 SE Melody Ln
Ste 101
Lees Summit, MO 64063

Practitioners & affiliated clinicians

Practitioners 22

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.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1633392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633392000000",
    "number": "1619649944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 SE MELODY LN STE 101",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640634804",
            "telephone_number": "816-219-1977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12140 NALL AVE STE 115",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662092503",
            "telephone_number": "913-257-5530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYOCORE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-05",
        "last_updated": "2021-10-05",
        "certification_date": "2021-10-05",
        "status": "A",
        "authorized_official_last_name": "MOSS",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "FREEMAN",
        "authorized_official_title_or_position": "DC",
        "authorized_official_telephone_number": "816-404-9120"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Oct 5, 2021; 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.