Active NPI
Michael Christopher Hudak, D.C.
- Chiropractor
- Kansas City, MO
National Provider Identifier
1942392915
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1999135672
- Practice address
- 8359 N Congress Ave
Kansas City, MO 64152-2041 - Phone
- (816) 468-9990
- Fax
- (816) 468-9992
- NPI assigned
- Sep 28, 2006
- Sex
- Male
- Sole proprietor
- No
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 | 1999135672 | MO | Primary |
Addresses
Primary practice location
8359 N Congress Ave
Kansas City, MO 64152-2041
Mailing address
8359 N Congress Ave
Kansas City, MO 64152-2041
Phone (816) 468-9990
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Cleveland Chiropractic College - Kansas City, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
8359 N Congress Ave
Kansas City, MO 64152-2041
Phone (816) 468-9990
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fountain of Life Family Chiropractic, Inc. | Chiropractor | Past | Accepting new patients |
Organizations & group practices 2
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
- Kansas City, MO
- NPI 1942499876
-
- Chiropractor
- Kansas City, MO
- NPI 1912020033
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703116800000",
"number": "1942392915",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8359 N CONGRESS AVE",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641522041",
"telephone_number": "816-468-9990",
"fax_number": "816-468-9992"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8359 N CONGRESS AVE",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641522041",
"telephone_number": "816-468-9990",
"fax_number": "816-468-9992"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUDAK",
"first_name": "MICHAEL",
"middle_name": "CHRISTOPHER",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-28",
"last_updated": "2023-12-21",
"certification_date": "2023-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MO",
"license": "1999135672",
"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 Dec 21, 2023; 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.