Organization Active NPI

Core Chiropractic Centre LLC

  • Chiropractor
  • Lee's Summit, MO
National Provider Identifier
1720301088
Registry record updated Mar 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
MO2001002825 Issued in MO
Legal business name
CORE CHIROPRACTIC CENTRE LLC
Practice address
3601 NE Ralph Powell Rd
Suite C
Lees Summit, MO 64064-2357
Phone
(816) 272-6000
Fax
(816) 272-6001
NPI assigned
Mar 1, 2010
Last updated
Mar 1, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2010

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

Authorized official

Name
David Ashley Black, D.C.
Title
Owner
Phone
(816) 272-6000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X MO2001002825 MO Primary

Addresses

Primary practice location

3601 NE Ralph Powell Rd
Suite C
Lees Summit, MO 64064-2357

Mailing address

3601 NE Ralph Powell Rd
Suite C
Lees Summit, MO 64064-2357
Phone (816) 272-6000

National Provider Directory

National Provider Directory

Locations

3483 NE Ralph Powell Rd
Lees Summit, MO 64064
Phone (816) 272-6000

NPI Registry JSON

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

{
    "created_epoch": "1267401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267401600000",
    "number": "1720301088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 NE RALPH POWELL RD",
            "address_2": "SUITE C",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640642357",
            "telephone_number": "816-272-6000",
            "fax_number": "816-272-6001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 NE RALPH POWELL RD",
            "address_2": "SUITE C",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640642357",
            "telephone_number": "816-272-6000",
            "fax_number": "816-272-6001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORE CHIROPRACTIC CENTRE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-01",
        "last_updated": "2010-03-01",
        "status": "A",
        "authorized_official_last_name": "BLACK",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "ASHLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "816-272-6000",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "MO2001002825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Mar 1, 2010; 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.