Kevin Shawn Coffman, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

05111 Issued in MO

Practice address

6009 NW 68TH Ter
Kansas City, MO 64151-1611

Phone

(816) 741-3800

Fax

(816) 741-1537

NPI assigned

Jul 19, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218585600000",
    "number": "1841219664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6009 NW 68TH TER",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641511611",
            "telephone_number": "816-741-3800",
            "fax_number": "816-741-1537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6009 NW 68TH TER",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641511611",
            "telephone_number": "816-741-3800",
            "fax_number": "816-741-1537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COFFMAN",
        "first_name": "KEVIN",
        "middle_name": "SHAWN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2008-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "05111",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD KANSAS CITY",
            "identifier": "29442011",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD KANSAS",
            "identifier": "458250",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hayley Frances Coen, NP-C
• Garrett Leland Coffelt, DPT
• Janie Miranda Coffey, PT, MPT
• Avon C Coffman, DO
• Joel Stephen Coffman, P.T.
• Leslie Coffman, APRN
• Lindsey B Coffman, R.D., CDE
• Mariah Rae Cofield, MS, RD, LD, CDCES
• Cognitions Anxiety and Depression Treatment Services, LLC
• Carly Cohen

• Chiropractor in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2008; 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.