Individual provider Active NPI

Daniel Scott Clodfelter, DC

  • Chiropractor
  • Independence, MO
National Provider Identifier
1740306323
Registry record updated Apr 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
006585 Issued in MO
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, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
24737115OtherMOBCBS 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

LicenseStateTypeSpecialty
006585MOMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Bateman Gatrost Chiro PC Chiropractor CurrentSince Feb 19, 2024 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 PastSince Jan 1, 2004 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.

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

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.

Verify at the official NPI Registry.