Organization Active NPI

Kansas City Health & Wellness Clinic, LLC

  • Chiropractor
  • Grandview, MO
National Provider Identifier
1750979365
Registry record updated Jan 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
KANSAS CITY HEALTH & WELLNESS CLINIC, LLC
Practice address
11902 Blue Ridge Ext Ste O
Grandview, MO 64030-1199
Phone
(816) 808-9900
Fax
(913) 273-0081
NPI assigned
Jan 8, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2021

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

Authorized official

Name
Dr. Jannise L Nathaniel
Title
Owner
Phone
(816) 806-2757

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

11902 Blue Ridge Ext Ste O
Grandview, MO 64030-1199

Mailing address

11902 Blue Ridge Ext Ste O
Grandview, MO 64030-1199
Phone (816) 808-9900

National Provider Directory

National Provider Directory

Locations

11902 Blue Ridge Ext
Ste O
Grandview, MO 64030
Phone (816) 808-9900

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1610064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610064000000",
    "number": "1750979365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11902 BLUE RIDGE EXT STE O",
            "city": "GRANDVIEW",
            "state": "MO",
            "postal_code": "640301199",
            "telephone_number": "816-808-9900",
            "fax_number": "913-273-0081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11902 BLUE RIDGE EXT STE O",
            "city": "GRANDVIEW",
            "state": "MO",
            "postal_code": "640301199",
            "telephone_number": "816-808-9900",
            "fax_number": "913-273-0081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KANSAS CITY HEALTH & WELLNESS CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-08",
        "last_updated": "2021-01-08",
        "certification_date": "2021-01-08",
        "status": "A",
        "authorized_official_last_name": "NATHANIEL",
        "authorized_official_first_name": "JANNISE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "816-806-2757",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grandview, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2021; 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.