Individual provider Active NPI

Brennan Jay Robinson, DC

  • Chiropractor
  • Lee's Summit, MO
National Provider Identifier
1730895806
Registry record updated Jan 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2022049322 Issued in MO
Practice address
338 SW Main St
Lees Summit, MO 64063-2340
Phone
(816) 600-5483
Fax
(816) 524-5328
NPI assigned
Jan 23, 2023
Last updated
Jan 23, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2022049322 MO Primary

Addresses

Primary practice location

338 SW Main St
Lees Summit, MO 64063-2340

Mailing address

401 Division St
Knob Noster, MO 65336-2033
Phone (918) 853-7180

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230523000828 MO Practitioner - Chiropractic 5597121269 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Sports and Family Chiropractic, LLCGroup PAC ID 7517036023, 17 clinicians

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

OrganizationSpecialtyStatusNew patients
Advanced Sports and Family Chiropractic, LLC Chiropractor CurrentSince May 11, 2023 Accepting new patients

Locations

6701 W 121st St
Ste 200
Overland Park, KS 66209
Phone (913) 379-9550

17027 Bel Ray Blvd
Belton, MO 64012
Phone (816) 425-7015

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": "1674432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674432000000",
    "number": "1730895806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 DIVISION ST",
            "city": "KNOB NOSTER",
            "state": "MO",
            "postal_code": "653362033",
            "telephone_number": "918-853-7180"
        },
        {
            "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": "ROBINSON",
        "first_name": "BRENNAN",
        "middle_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-01-23",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2022049322",
            "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 Jan 23, 2023; 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.