Organization Active NPI

Page Chiropractic LLC

  • Chiropractor
  • Grain Valley, MO
National Provider Identifier
1629196803
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1999137888 Issued in MO
Legal business name
PAGE CHIROPRACTIC LLC
Practice address
1436 W Aa Hwy
Grain Valley, MO 64029-0619
Phone
(816) 867-2026
Fax
(816) 867-2029
NPI assigned
Mar 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Miles David Page, D.C.NPI 1851383541
Title
Owner
Phone
(816) 867-2026

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 1999137888 MO Primary

Addresses

Primary practice location

1436 W Aa Hwy
Grain Valley, MO 64029-0619

Mailing address

1436 W Aa Hwy
Grain Valley, MO 64029-0619
Phone (816) 867-2026

Other identifiers 1

IdentifierTypeStateIssuer
33076011OtherMOBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629196803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1436 W AA HWY",
            "city": "GRAIN VALLEY",
            "state": "MO",
            "postal_code": "640290619",
            "telephone_number": "816-867-2026",
            "fax_number": "816-867-2029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1436 W AA HWY",
            "city": "GRAIN VALLEY",
            "state": "MO",
            "postal_code": "640290619",
            "telephone_number": "816-867-2026",
            "fax_number": "816-867-2029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAGE CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PAGE",
        "authorized_official_first_name": "MILES",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "816-867-2026",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "1999137888",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "33076011",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grain Valley, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.