Individual provider Active NPI

Karlye Carol Eddins, DC

  • Chiropractor
  • Lees Summit, MO
National Provider Identifier
1932860293
Registry record updated Jan 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2022000599 Issued in MO
Practice address
975 NE Rice Rd
Lees Summit, MO 64086-6359
Phone
(402) 570-0043
NPI assigned
Jan 7, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2022000599 MO Primary

Addresses

Primary practice location

975 NE Rice Rd
Lees Summit, MO 64086-6359

Mailing address

229 NW Kessler Dr Apt 108
Lees Summit, MO 64081-4171
Phone (402) 570-0043

Other names 1

  • Karlye Carol Cygan Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220214000736 MO Practitioner - Chiropractic 9739572801 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

975 NE Rice Rd
Lees Summit, MO 64086-6359
Phone (402) 570-0043

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2022000599MOMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Good Life Chiropractic LLC Chiropractor CurrentSince Feb 1, 2022 Accepting new patients

Locations

975 NE Rice Rd
Lees Summit, MO 64086
Phone (402) 570-0043

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.

NPI Registry JSON

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

{
    "created_epoch": "1641513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642636800000",
    "number": "1932860293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 NW KESSLER DR APT 108",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640814171",
            "telephone_number": "402-570-0043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 NE RICE RD",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640866359",
            "telephone_number": "402-570-0043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDDINS",
        "first_name": "KARLYE",
        "middle_name": "CAROL",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-07",
        "last_updated": "2022-01-20",
        "certification_date": "2022-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2022000599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KARLYE",
            "last_name": "CYGAN",
            "middle_name": "CAROL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lees Summit, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.