Thayer Banwart, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2015018443 Issued in MO

Practice address

4609 Paseo Blvd Ste 100
Kansas City, MO 64110-1843

Phone

(913) 602-2866

NPI assigned

Jun 19, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Specialty

Chiropractic

Education

Logan College of Chiropractic, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Derek Michael Haug, DC

  • Chiropractor
  • Peculiar, MO
  • NPI 1932667284
  Medicare reassignment

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.

• Arckcmo LLC

  • Chiropractor
  • Kansas City, MO
  • NPI 1619465945
  NPD Authorized official
• Peculiar Chiropractic and Sports Medicine LLC

  • Chiropractor
  • Peculiar, MO
  • NPI 1568160364
  Medicare reassignment
• Peculiar Family Chiropractic & Sports Medicine,

  • Chiropractor
  • Peculiar, MO
  • NPI 1912577461
  NPD (past) Authorized official
• Franz Chiropractic LLC

  • Chiropractor
  • Roeland Park, KS
  • NPI 1205726577
  NPD (past)

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

{
    "created_epoch": "1434672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668470400000",
    "number": "1881076404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 SW SEAGULL ST",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640824514",
            "telephone_number": "913-602-2866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4609 PASEO BLVD STE 100",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641101843",
            "telephone_number": "913-602-2866"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 S State Route C",
            "address_purpose": "LOCATION",
            "city": "Peculiar",
            "state": "MO",
            "postal_code": "640789729",
            "country_code": "US",
            "telephone_number": "816-779-1022",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BANWART",
        "first_name": "THAYER",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-19",
        "last_updated": "2022-11-15",
        "certification_date": "2022-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2015018443",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "01-05732",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE 2 ORGANIZATION NPI PECULIAR CHIROPRACTIC",
            "identifier": "1912577461",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARC BCBS PROVIDER ID",
            "identifier": "58109017",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE 2 ORGANIZATION NPI ARC",
            "identifier": "1619465945",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PECULIAR CHIROPRACTIC BCBS PROVIDER ID",
            "identifier": "65182016",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lalit Raj Bansal, M.D.
• Vasu Bansal
• Joyce Banta
• Paula R Banty-Moore, RN MSN
• Brooklyn Leigh Bantz
• Baptist Lutheran HBP, LLC
• Sam Baptiste, M.A, PLPC
• Dani Bar-Zion, M.D.
• D'Maraee Barahona
• Barak Home Healthcare LLC

• 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 Nov 15, 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.