Individual provider Active NPI

Bailey Lewis, DC

  • Chiropractor
  • Belton, MO
National Provider Identifier
1821688102
Registry record updated Aug 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2021002454 Issued in MO
Practice address
114 Congress St
Belton, MO 64012-2400
Phone
(816) 331-8900
NPI assigned
Jan 21, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2021002454 MO Primary

Addresses

Primary practice location

114 Congress St
Belton, MO 64012-2400

Mailing address

30900 Nelson Rd
Drexel, MO 64742-9230
Phone (913) 963-2609

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210209001819 MO Practitioner - Chiropractic 7618382466 Reassigns benefits to 1 organization
I20231024003289 KS Practitioner - Chiropractic 7618382466 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

14300 Kenneth Rd
Suite 210
Leawood, KS 66224-3985
Phone (913) 754-7004

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2021002454MOMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Vital Roots Chiropractic LLC Chiropractor CurrentSince Aug 28, 2023 Accepting new patients
Vital Roots Chiropractic LLC Chiropractor CurrentSince Jun 4, 2023 Accepting new patients
Abundant Life Chiropractic of Belton, P.C. Chiropractor CurrentSince Jan 21, 2021 Accepting new patients
Abundant Life Chiropractic, LLC Chiropractor PastSince Jan 21, 2021 Accepting new patients

Locations

14300 Kenneth Rd
Ste 210
Overland Park, KS 66224
Phone (913) 353-4357

114 Congress St
Belton, MO 64012
Phone (816) 331-8900

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1611187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661731200000",
    "number": "1821688102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30900 NELSON RD",
            "city": "DREXEL",
            "state": "MO",
            "postal_code": "647429230",
            "telephone_number": "913-963-2609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 CONGRESS ST",
            "city": "BELTON",
            "state": "MO",
            "postal_code": "640122400",
            "telephone_number": "816-331-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "BAILEY",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-21",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2021002454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belton, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.