Organization Active NPI

Scanlon Chiropractic LLC

  • Chiropractor
  • Kansas City, MO
National Provider Identifier
1679850739
Registry record updated Aug 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2010042410 Issued in MO
Legal business name
SCANLON CHIROPRACTIC LLC
Practice address
4307 Blue Ridge Blvd
Kansas City, MO 64133-2026
Phone
(816) 401-7282
Fax
(816) 867-4555
NPI assigned
Nov 3, 2011
Last updated
Aug 16, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2019

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

Authorized official

Name
Dr. Kevin Andrew Scanlon, D.C.
Title
Chiropractor/Owner
Phone
(816) 401-7282

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2010042410 MO Primary

Addresses

Primary practice location

4307 Blue Ridge Blvd
Kansas City, MO 64133-2026

Mailing address

4307 Blue Ridge Blvd
Kansas City, MO 64133-2026
Phone (816) 401-7282

Other identifiers 1

IdentifierTypeStateIssuer
45402028OtherMOBCBS-KC

National Provider Directory

National Provider Directory

Locations

1404 SW Eagles Pkwy
Grain Valley, MO 64029
Phone (816) 401-7282

4307 Blue Ridge Blvd
Kansas City, MO 64133
Phone (816) 401-7282

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": "1320278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565913600000",
    "number": "1679850739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4307 BLUE RIDGE BLVD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641332026",
            "telephone_number": "816-401-7282",
            "fax_number": "816-867-4555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4307 BLUE RIDGE BLVD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641332026",
            "telephone_number": "816-401-7282",
            "fax_number": "816-867-4555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCANLON CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-03",
        "last_updated": "2019-08-16",
        "status": "A",
        "authorized_official_last_name": "SCANLON",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "816-401-7282",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2010042410",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS-KC",
            "identifier": "45402028",
            "state": "MO"
        }
    ],
    "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 Aug 16, 2019; 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.