Active NPI
Jodi L Pedersen, DC, BS
- Chiropractor
- Kansas City, MO
National Provider Identifier
1922359512
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2012033593
- Practice address
- 8225 NE 83Rd Ter
#1021
Kansas City, MO 64158-7149 - Phone
- (406) 799-8127
- NPI assigned
- Sep 24, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2012033593 | MO | Primary |
Addresses
Primary practice location
8225 NE 83Rd Ter
#1021
Kansas City, MO 64158-7149
Mailing address
8225 NE 83Rd Ter
#1021
Kansas City, MO 64158-7149
Phone (406) 799-8127
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Bachelor of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gibson Chiropractic Clinic Jodi Pedersen General Partner | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Chiropractor
- Liberty, MO
- NPI 1700207933
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1348444800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348444800000",
"number": "1922359512",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8225 NE 83RD TER",
"address_2": "#1021",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641587149",
"telephone_number": "406-799-8127"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8225 NE 83RD TER",
"address_2": "#1021",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641587149",
"telephone_number": "406-799-8127"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEDERSEN",
"first_name": "JODI",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "DC, BS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-09-24",
"last_updated": "2012-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MO",
"license": "2012033593",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kansas City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.