Liberty Park Chiropractic, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2006008609 Issued in MO

Legal business name

LIBERTY PARK CHIROPRACTIC, LLC

Practice address

1508 NE 96TH St
Suite B
Liberty, MO 64068-1348

Phone

(816) 407-7200

Fax

(816) 407-7222

NPI assigned

Apr 28, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Jason A Hutchison, D.C.NPI 1730104845

Title

Owner

Phone

(816) 407-7200

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Locations

Practitioners 3

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

• Jason A. Hutchison, D.C.

  • Chiropractor
  • Liberty, MO
  • NPI 1730104845
  Medicare reassignment Care Compare group NPD Authorized official
• Bryna M Miller, D.C.

  • Chiropractor
  • Kansas City, MO
  • NPI 1366731408
  Medicare reassignment Care Compare group NPD
• John Williams Krim III, DC

  • Chiropractor
  • Olathe, KS
  • NPI 1811347743

  MO

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1209340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468195200000",
    "number": "1639344948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1508 NE 96TH ST",
            "address_2": "SUITE B",
            "city": "LIBERTY",
            "state": "MO",
            "postal_code": "640681348",
            "telephone_number": "816-407-7200",
            "fax_number": "816-407-7222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1508 NE 96TH ST",
            "address_2": "SUITE B",
            "city": "LIBERTY",
            "state": "MO",
            "postal_code": "640681348",
            "telephone_number": "816-407-7200",
            "fax_number": "816-407-7222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY PARK CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-28",
        "last_updated": "2016-07-11",
        "status": "A",
        "authorized_official_last_name": "HUTCHISON",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "816-407-7200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2006008609",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "40026012",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Liberty Medical Center, PC
• Liberty Medicine Specialists, Inc.
• Liberty Neurology, LLC
• Liberty Orthopedic Associates, P.C.
• Liberty Orthopedic Associates, P.C.
• Liberty Park Dental
• Liberty Psychological Services, L.L.C.
• Liberty Radiation Oncology Center
• Liberty Speech Language Therapy LLC
• Liberty Terrace Healthcare and Rehabilitation Center, LLC

• Chiropractor in Liberty, MO
• Providers in Liberty, MO by specialty
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.