Active NPI
Gary Lee Payne, DC
- Chiropractor
- Kansas City, MO
National Provider Identifier
1760620421
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2008035499
- Practice address
- 4301 Main St
Suite 6
Kansas City, MO 64111-7701 - Phone
- (816) 877-4124
- NPI assigned
- Feb 3, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2008035499 | MO | Primary |
| Chiropractor | 111N00000X | 01-05236 | KS |
Addresses
Primary practice location
4301 Main St
Suite 6
Kansas City, MO 64111-7701
Mailing address
4142 McGee St
Kansas City, MO 64111-1609
Phone (816) 931-3506
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01-05236 | KS | MD | Chiropractor |
| 2008035499 | MO | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1233619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1268697600000",
"number": "1760620421",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4142 MCGEE ST",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641111609",
"telephone_number": "816-931-3506"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4301 MAIN ST",
"address_2": "SUITE 6",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641117701",
"telephone_number": "816-877-4124"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAYNE",
"first_name": "GARY",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-02-03",
"last_updated": "2010-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MO",
"license": "2008035499",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "KS",
"license": "01-05236",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kansas City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.