NPIMap

Organization Active NPI

Body Dynamics Chiropractic Center Inc

  • Point of Service
  • Lee's Summit, MO
National Provider Identifier
1871794644
Registry record updated Jul 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
License
CE6088 Issued in MO
Legal business name
BODY DYNAMICS CHIROPRACTIC CENTER INC
Practice address
319 SE Main St
Lees Summit, MO 64063-2333
Phone
(816) 524-7000
Fax
(816) 524-6993
NPI assigned
May 30, 2007
Last updated
Jul 17, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2008

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

Authorized official

Name
Dr. Charles M. Vifquain, D.C.NPI 1033191689
Title
President
Phone
(816) 524-7000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Point of Service 305S00000X CE6088 MO Primary

Addresses

Primary practice location

319 SE Main St
Lees Summit, MO 64063-2333

Mailing address

319 SE Main St
Lees Summit, MO 64063-2333
Phone (816) 524-7000

Other identifiers 2

IdentifierTypeStateIssuer
18786011OtherMOBCBS
U44965OtherMOHUMANA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216252800000",
    "number": "1871794644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 SE MAIN ST",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640632333",
            "telephone_number": "816-524-7000",
            "fax_number": "816-524-6993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 SE MAIN ST",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640632333",
            "telephone_number": "816-524-7000",
            "fax_number": "816-524-6993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODY DYNAMICS CHIROPRACTIC CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-30",
        "last_updated": "2008-07-17",
        "status": "A",
        "authorized_official_last_name": "VIFQUAIN",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "816-524-7000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "MO",
            "license": "CE6088",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "18786011",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "U44965",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lee's Summit, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.