Gladstone Chiropractic Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

GLADSTONE CHIROPRACTIC INC

Practice address

7626 N Oak Trfy
Kansas City, MO 64118-1751

Phone

(360) 452-7636

Fax

(360) 457-4221

NPI assigned

Apr 11, 2022

Organization subpart

No

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

Authorized official

Name

Dustin Jarod Clark, DCNPI 1225449671

Title

Ower

Phone

(360) 452-7636

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Locations

Practitioners 3

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

• Karissa Delynn Rasmussen

  • Chiropractor
  • Kansas City, MO
  • NPI 1285380303
  Medicare reassignment NPD
• Dustin J Clark, D.C

  • Chiropractor
  • Port Angeles, WA
  • NPI 1225449671
  NPD Authorized official
• Russell Birdsall, DC

  • Chiropractor
  • Northglenn, CO
  • NPI 1609281773
  NPD

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

{
    "created_epoch": "1649635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653350400000",
    "number": "1912649971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7626 N OAK TRFY",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641181751",
            "telephone_number": "360-452-7636",
            "fax_number": "360-457-4221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7626 N OAK TRFY",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641181751",
            "telephone_number": "360-452-7636",
            "fax_number": "360-457-4221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLADSTONE CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-11",
        "last_updated": "2022-05-24",
        "certification_date": "2022-05-24",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "DUSTIN",
        "authorized_official_middle_name": "JAROD",
        "authorized_official_title_or_position": "OWER",
        "authorized_official_telephone_number": "360-452-7636",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Giving Home Health Care-Missouri, LLC (Giving Home Health Care)
• Sabrina S Giwa, LMHP
• Caitlyn Gjersvik
• Chelsea Jean Gladback, PHARMD
• Tiffany N Gladdis, PSYD
• Gladstone Dental Michael Gioia DDS PC
• Alan Glaros, PHD
• Max J Glaser, MD
• Cole Glasgow, MD
• Paul Charles Glasier, PH.D.

• 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 May 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.