Mark J Calandro, DC
Individual provider Active NPI Chiropractor · Grandview, MO
NPI 1679501142 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1679501142
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 5305 (MO)
- Practice address
- 12710 S US Highway 71
Grandview, MO 64030-2522 - Phone
- (816) 761-8304
- Fax
- (816) 761-8305
- NPI assigned
- Jun 30, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5305 | MO | MD | Chiropractor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 5305 | MO | Yes |
Addresses
Primary practice location
12710 S US Highway 71
Grandview, MO 64030-2522
Mailing address
12710 S US Highway 71
Grandview, MO 64030-2522
Phone (816) 761-8304
Other providers in Grandview, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.