Active NPI
Clayton Thomas Newberry, D.C.
- Chiropractor
- Kansas City, MO
National Provider Identifier
1669828208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2016014932
- Practice address
- 125 NE 91St St
Kansas City, MO 64155-3329 - Phone
- (816) 436-7500
- Fax
- (816) 436-7501
- NPI assigned
- May 13, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2016014932 | MO | Primary |
Addresses
Primary practice location
125 NE 91St St
Kansas City, MO 64155-3329
Mailing address
600 Broadway Blvd
Ste 175
Kansas City, MO 64105-1536
Phone (314) 238-6427
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Logan College of Chiropractic, 2016
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2425 N Old Atherton Rd
Independence, MO 64058-2009
310 S Platte Clay Way
Suite a
Kearney, MO 64060-8797
600 Broadway Blvd
Suite 175
Kansas City, MO 64105-1536
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2016014932 | MO | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Restore Muscle and Joint, LLC | Current | Accepting new patients | |
| Kelling Chiorpractic Center | Chiropractor | Past | Accepting new patients |
Locations
4119 NW Barry Rd
Kansas City, MO 64154
Phone (816) 452-4488
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.
-
- Chiropractor
- Kearney, MO
- NPI 1902836406
-
- Orthopaedic Surgery Physician
- Kansas City, MO
- NPI 1962767061
-
- Chiropractor
- Kearney, MO
- NPI 1902009913
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463097600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646352000000",
"number": "1669828208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 BROADWAY BLVD",
"address_2": "STE 175",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641051536",
"telephone_number": "314-238-6427"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 NE 91ST ST",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641553329",
"telephone_number": "816-436-7500",
"fax_number": "816-436-7501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEWBERRY",
"first_name": "CLAYTON",
"middle_name": "THOMAS",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-05-13",
"last_updated": "2022-03-04",
"certification_date": "2022-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MO",
"license": "2016014932",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kansas City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2022; 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.