Individual provider Active NPI

Brendon Pal, DC

  • Chiropractor
  • Overland Park, KS
National Provider Identifier
1821803677
Registry record updated Feb 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
01-06390 Issued in KS
Practice address
11081 Antioch Rd
Overland Park, KS 66210-2105
Phone
(913) 649-4045
NPI assigned
Feb 10, 2025
Last updated
Feb 10, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 01-06390 KS Primary

Addresses

Primary practice location

11081 Antioch Rd
Overland Park, KS 66210-2105

Mailing address

11081 Antioch Rd
Overland Park, KS 66210-2105
Phone (913) 649-4045

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250711000123 MO Practitioner - Chiropractic 5597270405 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chiro One Wellness Center of Liberty LLCGroup PAC ID 2769873306, 2 clinicians

Practice addresses (Care Compare)

9040 NE Barry Rd
Kansas City, MO 64157-1246
Phone (816) 368-8700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
01-06390KSMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Manifest Family Chiropractic Chiropractor Current Accepting new patients
Chiro One Wellness Center of Liberty LLC Chiropractor CurrentSince Jul 3, 2025 Accepting new patients

Locations

2625 Butterfield Rd
Ste 301N
Oak Brook, IL 60523
Phone (800) 613-0922

11081 Antioch Rd
Overland Park, KS 66210
Phone (913) 469-4045

9040 NE Barry Rd
Kansas City, MO 64157
Phone (816) 368-8700

9040 NE Barry Rd
#One
Kansas City, MO 64157
Phone (816) 368-8700

Organizations & group practices 2

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": "1739145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739145600000",
    "number": "1821803677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11081 ANTIOCH RD",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662102105",
            "telephone_number": "913-649-4045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11081 ANTIOCH RD",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662102105",
            "telephone_number": "913-649-4045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAL",
        "first_name": "BRENDON",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-02-10",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "01-06390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2025; 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.