NPIMap

Organization Active NPI

Kansas City Family Chiropractic Center

Doing business as Kcfcc

  • Chiropractor
  • Kansas City, MO
National Provider Identifier
1679071138
Registry record updated Jan 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2012032774 Issued in MO
Legal business name
KANSAS CITY FAMILY CHIROPRACTIC CENTER
Doing business as
Kcfcc
Practice address
13404A Holmes Rd Ste a
Kansas City, MO 64145-1446
Phone
(816) 382-5586
NPI assigned
Jan 30, 2018
Last updated
Jan 30, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2018

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

Authorized official

Name
Dr. Tiffany Poterbin, DCNPI 1821405838
Title
Owner/Chiropractic Physician
Phone
(816) 382-5586

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2012032774 MO Primary

Addresses

Primary practice location

13404A Holmes Rd Ste a
Kansas City, MO 64145-1446

Mailing address

13404 Holmes Rd Ste a
Kansas City, MO 64145-1446
Phone (816) 382-5586

Other names 1

  • KCFCC Doing business as

National Provider Directory

National Provider Directory

Locations

13404 Holmes Rd
#A
Kansas City, MO 64145

13404A Holmes Rd
Ste A
Kansas City, MO 64145
Phone (816) 382-5586

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1517270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517270400000",
    "number": "1679071138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13404 HOLMES RD STE A",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641451446",
            "telephone_number": "816-382-5586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13404A HOLMES RD STE A",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641451446",
            "telephone_number": "816-382-5586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KANSAS CITY FAMILY CHIROPRACTIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-30",
        "last_updated": "2018-01-30",
        "status": "A",
        "authorized_official_last_name": "POTERBIN",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTIC PHYSICIAN",
        "authorized_official_telephone_number": "816-382-5586",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2012032774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KCFCC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 30, 2018; 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.