Active NPI
David Adam Boender, D.C.
- Chiropractor
- Leawood, KS
National Provider Identifier
1689828964
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 5219
- Practice address
- 12100 State Line Rd
Leawood, KS 66209 - Phone
- (913) 345-9888
- Fax
- (913) 345-9888
- NPI assigned
- Nov 12, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 5219 | KS | Primary |
Addresses
Primary practice location
12100 State Line Rd
Leawood, KS 66209
Mailing address
12100 State Line Rd
Leawood, KS 66209
Phone (913) 345-9888
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5219 | KS | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1508198400000",
"number": "1689828964",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12100 STATE LINE RD",
"city": "LEAWOOD",
"state": "KS",
"postal_code": "66209",
"telephone_number": "913-345-9888",
"fax_number": "913-345-9888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12100 STATE LINE RD",
"city": "LEAWOOD",
"state": "KS",
"postal_code": "66209",
"telephone_number": "913-345-9888",
"fax_number": "913-345-9888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOENDER",
"first_name": "DAVID",
"middle_name": "ADAM",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-11-12",
"last_updated": "2017-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "KS",
"license": "5219",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Leawood, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.