Active NPI
Sam Weaver, DC
- Chiropractor
- Lee's Summit, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2020013203
- Practice address
- 338 SW Main St
Lees Summit, MO 64063-2340 - Phone
- (816) 600-5483
- Fax
- (816) 524-5328
- NPI assigned
- Jun 29, 2020
- Last updated
- May 8, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 01-06112 | KS | |
| Chiropractor | 111N00000X | 2020013203 | MO | Primary |
Addresses
Primary practice location
338 SW Main St
Lees Summit, MO 64063-2340
Mailing address
8345 Renner Blvd Apt 3416
Lenexa, KS 66219-3068
Phone (816) 808-2539
Other names 1
- Dr. Summer Weaver
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Cleveland Chiropractic College - Kansas City, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
338 SW Main St
Lees Summit, MO 64063-2340
Phone (816) 600-5483
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Sports and Family Chiropractic, LLC | Chiropractor | Current | Accepting new patients |
Locations
10454 S Ridgeview Rd
Olathe, KS 66061
Phone (913) 643-1771
6701 W 121st St
Ste 200
Overland Park, KS 66209
Phone (913) 379-9550
338 SW Main St
Lees Summit, MO 64063
Phone (816) 600-5483
Organizations & group practices 1
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": "1593388800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746662400000",
"number": "1710504477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8345 RENNER BLVD APT 3416",
"city": "LENEXA",
"state": "KS",
"postal_code": "662193068",
"telephone_number": "816-808-2539"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "338 SW MAIN ST",
"city": "LEES SUMMIT",
"state": "MO",
"postal_code": "640632340",
"telephone_number": "816-600-5483",
"fax_number": "816-524-5328"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEAVER",
"first_name": "SAM",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-06-29",
"last_updated": "2025-05-08",
"certification_date": "2025-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "KS",
"license": "01-06112",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MO",
"license": "2020013203",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SUMMER",
"last_name": "WEAVER",
"prefix": "DR.",
"credential": "DC",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Lee's Summit, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.