NPIMap

Organization Active NPI

James B. Doty, D.C., P.C.

Doing business as Back & Neck Pain Center

  • Chiropractor
  • Independence, MO
National Provider Identifier
1689775827
Registry record updated Dec 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2005001567 Issued in MO
Legal business name
JAMES B. DOTY, D.C., P.C.
Doing business as
Back & Neck Pain Center
Practice address
3730 S Noland Rd
Independence, MO 64055-3343
Phone
(816) 833-1232
Fax
(816) 833-4367
NPI assigned
Sep 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2011

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

Authorized official

Name
Mrs. Jennifer Christine Darnell
Title
Director of Insurance Relations
Phone
(816) 833-1232

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2005001567 MO Primary

Addresses

Primary practice location

3730 S Noland Rd
Independence, MO 64055-3343

Mailing address

3730 S Noland Rd
Independence, MO 64055-3343
Phone (816) 833-1232

Other names 1

  • Back & Neck Pain Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060313000306 MO Part B Supplier - Clinic/Group Practice 4082621230 Receives reassigned benefits from 1 practitioner
Practice locations: Independence, MO

National Provider Directory

National Provider Directory

Locations

3730 S Noland Rd
Independence, MO 64055
Phone (816) 833-1232

Practitioners & affiliated clinicians

Practitioners 3

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": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324512000000",
    "number": "1689775827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3730 S NOLAND RD",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640553343",
            "telephone_number": "816-833-1232",
            "fax_number": "816-326-0899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3730 S NOLAND RD",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640553343",
            "telephone_number": "816-833-1232",
            "fax_number": "816-833-4367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES B. DOTY, D.C., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2011-12-22",
        "status": "A",
        "authorized_official_last_name": "DARNELL",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "CHRISTINE",
        "authorized_official_title_or_position": "DIRECTOR OF INSURANCE RELATIONS",
        "authorized_official_telephone_number": "816-833-1232",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2005001567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Back & Neck Pain Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Independence, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2011; 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.