Organization Active NPI

Functional Health KC, LLC

  • Chiropractor
  • Overland Park, KS
National Provider Identifier
1942384623
Registry record updated Jan 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
FUNCTIONAL HEALTH KC, LLC
Practice address
6871 W. 91St St.
Overland Park, KS 66212-1459
Phone
(913) 381-0740
Fax
(913) 381-0738
NPI assigned
Oct 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2023

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

Authorized official

Name
Dr. Melinda Earlene Trump, DC
Title
Owner/ Doctor of Chiropractic
Phone
(913) 381-0740

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X KS Primary

Addresses

Primary practice location

6871 W. 91St St.
Overland Park, KS 66212-1459

Mailing address

6871 W. 91St St.
Overland Park, KS 66212-1459
Phone (913) 381-0740

Other names 1

  • Trump Chiropractic & Acupuncture LLC Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041001001002 KS Part B Supplier - Clinic/Group Practice 6204805542 Receives reassigned benefits from 2 practitioners
Practice locations: Overland Park, KS

National Provider Directory

National Provider Directory

Locations

6871 W 91st St
Overland Park, KS 66212
Phone (913) 381-0740

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674518400000",
    "number": "1942384623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6871 W. 91ST ST.",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662121459",
            "telephone_number": "913-381-0740",
            "fax_number": "913-381-0738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6871 W. 91ST ST.",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662121459",
            "telephone_number": "913-381-0740",
            "fax_number": "913-381-0738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUNCTIONAL HEALTH KC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-24",
        "status": "A",
        "authorized_official_last_name": "TRUMP",
        "authorized_official_first_name": "MELINDA",
        "authorized_official_middle_name": "EARLENE",
        "authorized_official_title_or_position": "OWNER/ DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "913-381-0740",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "KS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Trump Chiropractic & Acupuncture LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Overland Park, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2023; 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.