Individual provider Active NPI

Jennifer Rae Brill, D.C.

  • Chiropractor
  • Lees Summit, MO
National Provider Identifier
1760745772
Registry record updated Jun 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2012015058 Issued in MO
Practice address
931 SW Lemans LN
Lees Summit, MO 64082-4619
Phone
(816) 623-3020
Fax
(816) 623-3076
NPI assigned
Jun 25, 2012
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2012015058 MO Primary

Addresses

NPPES NPI Registry

Primary practice location

931 SW Lemans LN
Lees Summit, MO 64082-4619

Mailing address

931 SW Lemans LN
Lees Summit, MO 64082-4619
Phone (816) 623-3020

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 25, 2012.

{
    "created_epoch": "1340582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340582400000",
    "number": "1760745772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "931 SW LEMANS LN",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640824619",
            "telephone_number": "816-623-3020",
            "fax_number": "816-623-3076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "931 SW LEMANS LN",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640824619",
            "telephone_number": "816-623-3020",
            "fax_number": "816-623-3076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRILL",
        "first_name": "JENNIFER",
        "middle_name": "RAE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-25",
        "last_updated": "2012-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2012015058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lees Summit, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2012; 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.