Organization Active NPI

KC Spine and Sport, LLC

  • Chiropractor
  • Overland Park, KS
National Provider Identifier
1679340806
Registry record updated Jun 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
KC SPINE AND SPORT, LLC
Practice address
8663 W 135TH St
Overland Park, KS 66223-1215
Phone
(913) 766-0054
NPI assigned
Dec 7, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2025

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

Authorized official

Name
Dr. John McNeely, DCNPI 1275184079
Title
Owner/Ceo
Phone
(480) 531-3163

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X Primary

Addresses

Primary practice location

8663 W 135TH St
Overland Park, KS 66223-1215

Mailing address

8663 W 135TH St
Overland Park, KS 66223-1215
Phone (913) 766-0054

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250903004259 KS Part B Supplier - Clinic/Group Practice 3678075256 Receives reassigned benefits from 1 practitioner
Practice locations: Overland Park, KS

National Provider Directory

National Provider Directory

Locations

8663 W 135th St
Overland Park, KS 66223
Phone (913) 766-0054

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1701907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750896000000",
    "number": "1679340806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8663 W 135TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662231215",
            "telephone_number": "913-766-0054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8663 W 135TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662231215",
            "telephone_number": "913-766-0054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KC SPINE AND SPORT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-07",
        "last_updated": "2025-06-26",
        "certification_date": "2025-06-26",
        "status": "A",
        "authorized_official_last_name": "MCNEELY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "480-531-3163",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2025; 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.