Individual provider Active NPI

Branon Shadd McMichael, B.S, D.C.

  • Chiropractor
  • Kansas City, MO
National Provider Identifier
1699036897
Registry record updated Jan 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2012016891 Issued in MO
Practice address
8335 N Congress Ave
Kansas City, MO 64152-2041
Phone
(816) 741-4711
NPI assigned
Jun 4, 2012
Last updated
Jan 29, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2012016891 MO Primary

Addresses

Primary practice location

8335 N Congress Ave
Kansas City, MO 64152-2041

Mailing address

5008 S Kendall Dr
Independence, MO 64055-5349
Phone (816) 898-9633

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
Credentials
Bachelor of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Springs Chiropractic Clinic PC Chiropractor PastSince Dec 8, 2008 Accepting new patients
Fountain of Life Family Chiropractic, Inc. Chiropractor PastSince May 31, 2007 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1338768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390953600000",
    "number": "1699036897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5008 S KENDALL DR",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640555349",
            "telephone_number": "816-898-9633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8335 N CONGRESS AVE",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641522041",
            "telephone_number": "816-741-4711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMICHAEL",
        "first_name": "BRANON",
        "middle_name": "SHADD",
        "name_prefix": "Dr.",
        "credential": "B.S, D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-04",
        "last_updated": "2014-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2012016891",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 29, 2014; 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.