Individual provider Active NPI

Mashala Tolbert, DC

  • Chiropractor
  • Blue Springs, MO
National Provider Identifier
1649070160
Registry record updated Mar 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2025002732 Issued in MO
Practice address
2525 NW South Outer Rd Ste C
Blue Springs, MO 64015-1726
Phone
(816) 800-8305
NPI assigned
Mar 14, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2025002732 MO Primary

Addresses

Primary practice location

2525 NW South Outer Rd Ste C
Blue Springs, MO 64015-1726

Mailing address

2525 NW South Outer Rd Ste C
Blue Springs, MO 64015-1726

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250416003533 MO Practitioner - Chiropractic 5294250767 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dynamic Chiropractic LLCGroup PAC ID 5294061602, 3 clinicians

Practice addresses (Care Compare)

2525 NW S Outer Rd
Suite C
Blue Springs, MO 64015-1726
Phone (816) 800-8305

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2025002732MOMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Dynamic Chiropractic LLC Chiropractor CurrentSince Mar 24, 2025 Accepting new patients

Locations

2525 NW South Outer Rd
Ste C
Blue Springs, MO 64015
Phone (816) 800-8305

Organizations & group practices 1

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": "1741910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741910400000",
    "number": "1649070160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 NW SOUTH OUTER RD STE C",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640151726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 NW SOUTH OUTER RD STE C",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640151726",
            "telephone_number": "816-800-8305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOLBERT",
        "first_name": "MASHALA",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-14",
        "last_updated": "2025-03-14",
        "certification_date": "2025-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2025002732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blue Springs, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2025; 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.