Active NPI
Daniel Scott Clodfelter, DC
- Chiropractor
- Independence, MO
National Provider Identifier
1740306323
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 006585
- Practice address
- 19501 E US Highway 40 Ste B
Independence, MO 64055-5475 - Phone
- (816) 795-5000
- Fax
- (816) 795-5001
- NPI assigned
- Mar 22, 2007
- Last updated
- Apr 24, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 006585 | MO | Primary |
Addresses
Primary practice location
19501 E US Highway 40 Ste B
Independence, MO 64055-5475
Mailing address
19501 E US Highway 40 Ste B
Independence, MO 64055-5475
Phone (816) 795-5000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 24737115 | Other | MO | BCBS KC |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 006585 | MO | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bateman Gatrost Chiro PC | Chiropractor | Current | Accepting new patients |
| Harding Health Centers, Inc. | Chiropractor | Past | Accepting new patients |
| Lana C. Pennell, D.C. | Past | Accepting new patients | |
| Kurtz Chiropractic Office, LLC | Chiropractor | Past | Accepting new patients |
Locations
19501 E US Highway 40
Ste B
Independence, MO 64055
Phone (816) 795-5000
Organizations & group practices 4
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.
-
- Chiropractor
- Independence, MO
- NPI 1013037597
-
- Chiropractor
- Platte City, MO
- NPI 1245450550
-
- Chiropractor
- Nevada, MO
- NPI 1861612178
-
dba HealthStar Chiropractic
- Nutrition Chiropractor
- Independence, MO
- NPI 1851589626
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713916800000",
"number": "1740306323",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19501 E US HIGHWAY 40 STE B",
"city": "INDEPENDENCE",
"state": "MO",
"postal_code": "640555475",
"telephone_number": "816-795-5000",
"fax_number": "816-795-5001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19501 E US HIGHWAY 40 STE B",
"city": "INDEPENDENCE",
"state": "MO",
"postal_code": "640555475",
"telephone_number": "816-795-5000",
"fax_number": "816-795-5001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLODFELTER",
"first_name": "DANIEL",
"middle_name": "SCOTT",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-22",
"last_updated": "2024-04-24",
"certification_date": "2024-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MO",
"license": "006585",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS KC",
"identifier": "24737115",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Independence, MO
- Lexie Denise Clements
- Cliffview Medical Group PC
- Clinical Cardiovascular Associates, P.a. (Cardiology Interpretations)
- Clinical Laboratory Solutions, LLC (Dba Prevential)
- Clint Thomas LLC
- Melissa Coats, LAC
- Alexandra Cobb
- Cockerell & McIntosh Pediatric Urgent Care PC
- Trisha Anne Cockrell, FNP-C
- Scott Coffman, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.