Organization Active NPI

Phoenix Health & Performance Chiropractic LLC

  • Chiropractor
  • Belton, MO
National Provider Identifier
1679490486
Registry record updated Aug 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
PHOENIX HEALTH & PERFORMANCE CHIROPRACTIC LLC
Practice address
124 Cunningham Pkwy Ste 203
Belton, MO 64012-2163
Phone
(816) 744-1332
NPI assigned
Jul 1, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2026

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

Authorized official

Name
Victor V Kutsar, DCNPI 1508231788
Title
Chiropractor
Phone
(971) 336-6366

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

124 Cunningham Pkwy Ste 203
Belton, MO 64012-2163

Mailing address

204 E Maplewood LN
Raymore, MO 64083-8732
Phone (816) 744-1332

National Provider Directory

National Provider Directory

Locations

124 Cunningham Pkwy
Ste 203
Belton, MO 64012

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": "1782864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786579200000",
    "number": "1679490486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 E MAPLEWOOD LN",
            "city": "RAYMORE",
            "state": "MO",
            "postal_code": "640838732",
            "telephone_number": "816-744-1332",
            "fax_number": "816-817-4384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 CUNNINGHAM PKWY STE 203",
            "city": "BELTON",
            "state": "MO",
            "postal_code": "640122163",
            "telephone_number": "816-744-1332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX HEALTH & PERFORMANCE CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-01",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "status": "A",
        "authorized_official_last_name": "KUTSAR",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "971-336-6366",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belton, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2026; 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.