Individual provider Active NPI

Kort W Harshman, D.C.

  • Chiropractor
  • Springfield, MO
National Provider Identifier
1639153307
Registry record updated Sep 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
005118 Issued in MO
Practice address
636 W Republic Rd
Suite 108
Springfield, MO 65807-5803
Phone
(417) 862-1922
Fax
(417) 862-1923
NPI assigned
Dec 6, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 15, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 005118 MO Primary

Addresses

Primary practice location

636 W Republic Rd
Suite 108
Springfield, MO 65807-5803

Mailing address

636 W Republic Rd
Suite 108
Springfield, MO 65807-5803
Phone (417) 862-1922

Other identifiers 1

IdentifierTypeStateIssuer
CP2562OtherMOMEDICARE ID TYPE UNSPECIFIED

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050301000530 MO Practitioner - Chiropractic 7012960198 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dame Chiropractic LLCGroup PAC ID 8729504188, 2 clinicians

Practice addresses (Care Compare)

636 W Republic Rd
Suite 108
Springfield, MO 65807-5803
Phone (417) 862-1922

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dame Chiropractic, LLC Chiropractor CurrentSince Jul 2, 2025 Accepting new patients
Harshman Chiropractic Clinic LLC Chiropractor CurrentSince Jan 1, 2008 Accepting new patients
Harshman Chiropractic Clinic Chiropractor Past Accepting new patients

Locations

636 W Republic Rd
Ste 108
Springfield, MO 65807
Phone (417) 862-1922

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1133827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221436800000",
    "number": "1639153307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "636 W REPUBLIC RD",
            "address_2": "SUITE 108",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658075803",
            "telephone_number": "417-862-1922",
            "fax_number": "471-862-1923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "636 W REPUBLIC RD",
            "address_2": "SUITE 108",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658075803",
            "telephone_number": "417-862-1922",
            "fax_number": "417-862-1923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARSHMAN",
        "first_name": "KORT",
        "middle_name": "W",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-06",
        "last_updated": "2008-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "005118",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID TYPE UNSPECIFIED",
            "identifier": "CP2562",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2008; 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.

Verify at the official NPI Registry.