Individual provider Active NPI

Mary E Hasley, DC

  • Chiropractor
  • Lees Summit, MO
National Provider Identifier
1760426480
Registry record updated Mar 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
006625 Issued in MO
Practice address
241 SW Noel St
Lees Summit, MO 64063-2241
Phone
(816) 525-1311
Fax
(816) 631-3216
NPI assigned
Jun 15, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 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 006625 MO Primary

Addresses

Primary practice location

241 SW Noel St
Lees Summit, MO 64063-2241

Mailing address

241 SW Noel St
Lees Summit, MO 64063-2241
Phone (816) 525-1311

Other identifiers 1

IdentifierTypeStateIssuer
230078291MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710892800000",
    "number": "1760426480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 SW NOEL ST",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640632241",
            "telephone_number": "816-525-1311",
            "fax_number": "816-631-3216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "241 SW NOEL ST",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640632241",
            "telephone_number": "816-525-1311",
            "fax_number": "816-631-3216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASLEY",
        "first_name": "MARY",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-15",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "006625",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "230078291",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lees Summit, MO

Sources for this page

Verify at the official NPI Registry.