NPIMap

Organization Active NPI

Kearney Family Chiropractic Center PC

  • Chiropractor
  • Kearney, MO
National Provider Identifier
1982675823
Registry record updated Apr 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
006596 Issued in MO
Legal business name
KEARNEY FAMILY CHIROPRACTIC CENTER PC
Practice address
301 S Platte Clay Way
Suite B
Kearney, MO 64060-8214
Phone
(816) 628-6738
Fax
(816) 628-6739
NPI assigned
Jan 30, 2006
Last updated
Apr 15, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2010

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

Authorized official

Name
Dr. Mark D Strathman, D.C.NPI 1700935905
Title
Provider
Phone
(816) 628-6738

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 006596 MO Primary

Addresses

Primary practice location

301 S Platte Clay Way
Suite B
Kearney, MO 64060-8214

Mailing address

301 S Platte Clay Way
Suite B
Kearney, MO 64060-8214
Phone (816) 628-6738

Other identifiers 4

IdentifierTypeStateIssuer
24559023OtherMOBC/BS INDV #
P00136493OtherMORAILROAD MEDICARE INDIV #
DB9153OtherMORAILROAD MEDICARE GRP #
36485011OtherMOBC/BS GRP #

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041028000424 MO Part B Supplier - Clinic/Group Practice 4688636079 Receives reassigned benefits from 1 practitioner
Practice locations: Kearney, MO

National Provider Directory

National Provider Directory

Locations

301 S Platte Clay Way
Ste B
Kearney, MO 64060
Phone (816) 628-6738

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271289600000",
    "number": "1982675823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 S PLATTE CLAY WAY",
            "address_2": "SUITE B",
            "city": "KEARNEY",
            "state": "MO",
            "postal_code": "640608214",
            "telephone_number": "816-628-6738",
            "fax_number": "816-628-6739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 S PLATTE CLAY WAY",
            "address_2": "SUITE B",
            "city": "KEARNEY",
            "state": "MO",
            "postal_code": "640608214",
            "telephone_number": "816-628-6738",
            "fax_number": "816-628-6739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEARNEY FAMILY CHIROPRACTIC CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-30",
        "last_updated": "2010-04-15",
        "status": "A",
        "authorized_official_last_name": "STRATHMAN",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "816-628-6738",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "006596",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS INDV #",
            "identifier": "24559023",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE INDIV #",
            "identifier": "P00136493",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GRP #",
            "identifier": "DB9153",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS GRP #",
            "identifier": "36485011",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kearney, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2010; 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.