Individual provider Active NPI

Joshua Panyik

  • Chiropractor
  • Blue Springs, MO
National Provider Identifier
1871369736
Registry record updated Nov 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2023013954 Issued in MO
Practice address
2525 NW South Outer Rd Ste C
Blue Springs, MO 64015-1726
Phone
(816) 800-8305
NPI assigned
Nov 30, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2023013954 MO Primary

Addresses

Primary practice location

2525 NW South Outer Rd Ste C
Blue Springs, MO 64015-1726

Mailing address

2525 NW South Outer Rd Ste C
Blue Springs, MO 64015-1726
Phone (816) 800-8305

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231214003008 MO Practitioner - Chiropractic 2365891462 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dynamic Chiropractic LLCGroup PAC ID 5294061602, 3 clinicians

Practice addresses (Care Compare)

2525 NW S Outer Rd
Suite C
Blue Springs, MO 64015-1726
Phone (816) 800-8305

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dynamic Chiropractic LLC Chiropractor CurrentSince Dec 1, 2023 Accepting new patients

Locations

2525 NW South Outer Rd
Ste C
Blue Springs, MO 64015
Phone (816) 800-8305

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1701302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701302400000",
    "number": "1871369736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 NW SOUTH OUTER RD STE C",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640151726",
            "telephone_number": "816-800-8305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 NW SOUTH OUTER RD STE C",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640151726",
            "telephone_number": "816-800-8305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANYIK",
        "first_name": "JOSHUA",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-11-30",
        "last_updated": "2023-11-30",
        "certification_date": "2023-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2023013954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blue Springs, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2023; 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.