Paul Ryan Sivo Jr.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2022017324 Issued in MO

Practice address

203 S Main St Ste D
Grain Valley, MO 64029-9703

Phone

(816) 443-5485

NPI assigned

May 26, 2022

Last updated

May 26, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Grain Valley Chiropractic, LLC

  • Chiropractor
  • Grain Valley, MO
  • NPI 1710400593
  NPD
• GVC Chiropractic of Independence, LLC

  • Chiropractor
  • Independence, MO
  • NPI 1629771969
  NPD
• Schumacher Chiropractic LLC

  • Chiropractor
  • Independence, MO
  • NPI 1538029681
  NPD (past)

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

{
    "created_epoch": "1653523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653523200000",
    "number": "1801534946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 NE TUDOR RD APT 6",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640865784",
            "telephone_number": "401-829-3758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 S MAIN ST STE D",
            "city": "GRAIN VALLEY",
            "state": "MO",
            "postal_code": "640299703",
            "telephone_number": "816-443-5485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIVO",
        "first_name": "PAUL",
        "middle_name": "RYAN",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-26",
        "last_updated": "2022-05-26",
        "certification_date": "2022-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2022017324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Serc Rehabilitation Partners LLC (SERC - Grain Valley)
• Joy Sharp
• Shay Medical Imaging, LLC
• Taylor Renee Siegrist, DC
• Chloe Sims
• Aleisha Smith
• Emma Smith
• Victoria Smits
• Carsen Sporleder, MS, RD, LD
• Starz Pediatric Therapy Network

• Chiropractor in Grain Valley, MO
• Providers in Grain Valley, MO by specialty
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2022; 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.