Individual provider Active NPI

Steven Lawrence Perry, DC

  • Chiropractor
  • Lee's Summit, MO
National Provider Identifier
1982659041
Registry record updated May 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6124 Issued in MO
Practice address
731 NE Lakewood Blvd
Lees Summit, MO 64064
Phone
(816) 373-3373
Fax
(816) 373-2902
NPI assigned
May 24, 2006
Last updated
May 27, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6124 MO Primary

Addresses

Primary practice location

731 NE Lakewood Blvd
Lees Summit, MO 64064

Mailing address

731 NE Lakewood Blvd
Lees Summit, MO 64064-1353
Phone (816) 373-3373

Other identifiers 1

IdentifierTypeStateIssuer
19623011OtherMOBCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050531000991 MO Practitioner - Chiropractic 9537101506 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 1993
Medicare assignment
May accept Medicare assignment
Group practices
Lakewood Chiropractic, PCGroup PAC ID 7719920677, 4 clinicians

Practice addresses (Care Compare)

731 NE Lakewood Blvd
Lees Summit, MO 64064-1353

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6124MOMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Lakewood Chiropractic P.C. Chiropractor CurrentSince Apr 28, 2005 Accepting new patients
Lakewood Chiropractic, P.C. Chiropractor PastSince Apr 21, 1993 Accepting new patients

Locations

731 N E Lakewood Blvd
Lees Summit, MO 64064
Phone (816) 373-3373

731 NE Lakewood Blvd
Lees Summit, MO 64064
Phone (816) 373-3373

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622073600000",
    "number": "1982659041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "731 NE LAKEWOOD BLVD",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640641353",
            "telephone_number": "816-373-3373",
            "fax_number": "816-373-2902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "731 NE LAKEWOOD BLVD",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "64064",
            "telephone_number": "816-373-3373",
            "fax_number": "816-373-2902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRY",
        "first_name": "STEVEN",
        "middle_name": "LAWRENCE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2021-05-27",
        "certification_date": "2021-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "6124",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "19623011",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lee's Summit, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2021; 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.