Kayla Dominguez, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2025044041 Issued in MO

Practice address

203 S Main St Ste D
Grain Valley, MO 64029-9703

Phone

(816) 443-5485

NPI assigned

Oct 8, 2025

Last updated

Oct 8, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

Specialty

Chiropractic

Education

Cleveland Chiropractic College - Kansas City, 2025

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Thrive Family Chiropractic & Acupuncture Inc

  • Chiropractor
  • Lincoln, NE
  • NPI 1710330121
  Medicare reassignment NPD
• Synergy Chiropractic Spine and Joint Center

  • Chiropractor
  • Lincoln, NE
  • NPI 1932439973
  NPD

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

{
    "created_epoch": "1759881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759881600000",
    "number": "1710852876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 S MAIN ST STE D",
            "city": "GRAIN VALLEY",
            "state": "MO",
            "postal_code": "640299703",
            "telephone_number": "816-443-5485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 S MAIN ST STE D",
            "city": "GRAIN VALLEY",
            "state": "MO",
            "postal_code": "640299703",
            "telephone_number": "816-443-5485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMINGUEZ",
        "first_name": "KAYLA",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-08",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2025044041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cwo Enterprises (Children With Opportunity)
• Caton Day
• Jenny De Marziani, PT
• Kelly Jean Desselle, PT, DPT, ATC
• Diamond Medical Care LLC
• Kennedi Douglas
• Catherine Dowd, D.C.
• Kaitlin Doyle
• Jennifer Sue Edwards, CRT / RPSGT
• Georgette Elder, BA

• Chiropractor in Grain Valley, MO
• Providers in Grain Valley, MO by specialty
• Chiropractor in Missouri

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

Verify at the official NPI Registry.