Peculiar Family Chiropractic & Sports Medicine,

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

PECULIAR FAMILY CHIROPRACTIC & SPORTS MEDICINE,

Practice address

201 S State Route C
Peculiar, MO 64078-9729

Phone

(816) 779-1022

NPI assigned

Jun 28, 2021

Last updated

Nov 15, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Thayer Banwart, DCNPI 1881076404

Title

Owner

Phone

(913) 602-2866

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Parsons Chiropractic and Sp Me Clinic Former legal business name

Locations

Practitioners 1

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.

• Thayer Banwart, D.C.

  • Chiropractor
  • Kansas City, MO
  • NPI 1881076404
  NPD (past) Authorized official

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

{
    "created_epoch": "1624838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668470400000",
    "number": "1912577461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 S STATE ROUTE C",
            "city": "PECULIAR",
            "state": "MO",
            "postal_code": "640789729",
            "telephone_number": "816-779-1022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S STATE ROUTE C",
            "city": "PECULIAR",
            "state": "MO",
            "postal_code": "640789729",
            "telephone_number": "816-779-1022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PECULIAR FAMILY CHIROPRACTIC & SPORTS MEDICINE,",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-28",
        "last_updated": "2022-11-15",
        "certification_date": "2022-11-14",
        "status": "A",
        "authorized_official_last_name": "BANWART",
        "authorized_official_first_name": "THAYER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "913-602-2866",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE 2 ORGANIZATION NPI",
            "identifier": "1912577461",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Parsons Chiropractic and Sp Me Clinic",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Parsons Chiropractic and Sp Me Clinic",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Paula Ellen Newton
• Overcomers Counseling Center Inc
• Parsons Chiropractic Sports Medicine
• Peculiar Chiropractic and Sports Medicine LLC
• Peculiar Dental Care LLC
• Peculiar Medical Clinic (Cass Medical Center)
• Peculiar Pharmacy LLC
• Lucinda Pennington, MS, MA
• Sheryl Lynn Phillips, RPH
• Stacie Leah Pruett, FNP

• Chiropractor in Peculiar, MO
• Providers in Peculiar, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.