Organization Active NPI

Aurora Rainbow Enterprises Inc

  • Chiropractor
  • Independence, MO
National Provider Identifier
1801912043
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
003827 Issued in MO
Legal business name
AURORA RAINBOW ENTERPRISES INC
Practice address
514 S Noland Rd
Independence, MO 64050-3969
Phone
(816) 254-1969
Fax
(816) 254-1972
NPI assigned
Mar 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Clyde Joseph Runyon, DC
Title
President
Phone
(816) 254-1969

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 003827 MO Primary

Addresses

Primary practice location

514 S Noland Rd
Independence, MO 64050-3969

Mailing address

514 S Noland Rd
Independence, MO 64050-3969
Phone (816) 254-1969

National Provider Directory

National Provider Directory

Locations

514 S Noland Rd
Independence, MO 64050
Phone (816) 254-1969

514 S Noland Rd
Ste 110
Independence, MO 64050
Phone (816) 254-1969

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801912043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514 S NOLAND RD",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640503969",
            "telephone_number": "816-254-1969",
            "fax_number": "816-254-1972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 S NOLAND RD",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640503969",
            "telephone_number": "816-254-1969",
            "fax_number": "816-254-1972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AURORA RAINBOW ENTERPRISES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RUNYON",
        "authorized_official_first_name": "CLYDE",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "816-254-1969",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "003827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Independence, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.