Jeremy Michael Bullimore, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2009004813 Issued in MO

Practice address

2310 Holmes St
Suite 704
Kansas City, MO 64108-2602

Phone

(816) 404-6489

Fax

(816) 404-6494

NPI assigned

Feb 26, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Myocore, LLC

  • Chiropractor
  • Kansas City, MO
  • NPI 1316138316
  NPD (past)

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

{
    "created_epoch": "1235606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343692800000",
    "number": "1891935128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2310 HOLMES ST",
            "address_2": "SUITE 704",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641082602",
            "telephone_number": "816-404-6489",
            "fax_number": "816-404-6494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2310 HOLMES ST",
            "address_2": "SUITE 704",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641082602",
            "telephone_number": "816-404-6489",
            "fax_number": "816-404-6494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BULLIMORE",
        "first_name": "JEREMY",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-02-26",
        "last_updated": "2012-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2009004813",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "0105229",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Lauren Bukovac, RD
• Rex Warren Bull, PH.D.
• Amalia Thompson Bullard, PH.D.
• Erica Lynn Bullard
• Rebecca Bullard
• Renee Bullis, DPT
• Tyler Craig Bullis, MD
• Meghan Renee Bullock, CPNP- AC
• Bumps & Babies Chiropractic, LLC
• Charles Philip Bumpus, R.PH.

• 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 Jul 31, 2012; 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.