Christina R. Cantrell, D.C.,B.S.

Key facts

NPI

1922066547

Entity type

Individual (NPI type 1)

Primary specialty

Occupational Health Chiropractor 111NX0100X

License

2005031368 (MO)

Practice address

310 S Lincoln Ave
Raymore, MO 64083-9762

Phone

(816) 718-0857

NPI assigned

May 3, 2006

Sex

Female

Sole proprietor

Yes

Organizations & group practices 3

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.

• Meriden Chiropractic PA Chiropractor · Meriden, KS · NPI 1043357478
  Medicare reassignment Care Compare group NPD KS
• Cantrell Chiropractic Chiropractor · Raymore, MO · NPI 1205195245
  NPD (past) Authorized official
• Andy Minor, Chiropractic PC Rehabilitation Chiropractor · Blue Springs, MO · NPI 1376737668
  NPD (past) OCCUPATIONAL HEALTH

Medicare Care Compare profile

Specialty

Chiropractic

Education

Cleveland Chiropractic College - Kansas City, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Meriden Chiropractic PA (4 clinicians)

Practice addresses (Care Compare)

Medicare participation

Medicare fee-for-service enrollment

Enrolled in KS

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Bachelor of Science

State licenses

Practice roles

Locations

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 3, 2009.

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1249257600000",
    "number": "1922066547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1352",
            "address_2": "310 S. LINCOLN AVE",
            "city": "RAYMORE",
            "state": "MO",
            "postal_code": "640831352",
            "telephone_number": "816-718-0857",
            "fax_number": "816-318-8425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 S LINCOLN AVE",
            "city": "RAYMORE",
            "state": "MO",
            "postal_code": "640839762",
            "telephone_number": "816-718-0857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANTRELL",
        "first_name": "CHRISTINA",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "D.C.,B.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-03",
        "last_updated": "2009-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NX0100X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Occupational Health",
            "state": "MO",
            "license": "2005031368",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACN",
            "identifier": "697680",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11516513",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "36497025",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "744328",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raymore, MO

• Burleson Orthodontics and Pediatric Dentistry, LLC
• Janet Lynn Burns, LPC
• Kerry Alice Chrysalis Bursley, LPC
• Deanna Lee Campbell, PTA
• Cantrell Chiropractic
• Shannon Cantrell, APRN-NPC
• Donna R. Carroll, LPC
• Cass County Center for Seniors & Special Needs
• Cass County Physical Therapy, Inc.
• Maggie Cato, LCSW

All providers in Raymore, MO · Occupational Health Chiropractor in Missouri