ACTIVE BODY CHIROPRACTIC & WELLNESS, LLC (NPI# 1154660199) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1154660199 |
Entity Type | Organization |
Organization Name | ACTIVE BODY CHIROPRACTIC & WELLNESS, LLC |
Practice Address |
19101 E Valley View Pkwy Ste J Independence MO 64055-6907 |
Practice Telephone | 8167950300 |
Mailing Telephone | 8167950300 |
Enumeration Date | 2013-02-12 |
Last Update Date | 2013-02-12 |
Authorized Official Name | KERRI HOWERTON (OWNER) |
Authorized Official Telephone | 8168091619 |
Authorized Official Credential | DC |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 111N00000X | Chiropractor | 2012024639 | MO | Chiropractic Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MO | P44000004 | 05 |
Street Address |
19101 E VALLEY VIEW PKWY STE J |
City | INDEPENDENCE |
State | MO |
Zip Code | 64055-6907 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548450802 | Balanced Body Chiropractic Center PC | Chiropractor | 19101 E Valley View Pkwy Ste J, Independence, MO 64055-6907 | 2007-08-01 |
1932625027 | Healing Well Chiropractic Lee's Summit LLC | Chiropractor | 19101 E Valley View Pkwy Ste J, Independence, MO 64055-6907 | 2017-08-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851916035 | Nicholas Portell | Optometrist | 13900 E Us Hwy, Suite A, Independence, MO 64055 | 2020-06-12 |
1295396398 | Alyson Forbes | Behavioral Analyst | 4721 S. Cliff Ave, Suite 103, Independence, MO 64055 | 2019-06-28 |
1427526458 | Physicians Wellness Group LLC | Family Medicine | 19045 E Valley View Parkway, Suite G, Independence, MO 64055 | 2018-11-07 |
1760967707 | Simone Lila Light | Behavioral Analyst | 4721 S. Cliff Ave Suite 103, Suite 103, Independence, MO 64055 | 2018-09-25 |
1841786183 | Ladonna Kaye Stephens | Pharmacist | 4100 Bolger Dr, Independence, MO 64055 | 2018-07-10 |
1568954873 | Lincare Inc | Durable Medical Equipment & Medical Supplies | 17501 E 40 Hwy Ste 224, Independence, MO 64055 | 2018-06-01 |
1710488002 | Zenith Rehabilitation, LLC | Rehabilitation Practitioner | 14500 E 42nd St S Ste 240, Independence, MO 64055 | 2018-02-22 |
1720526924 | Ashley & Gray D.d.s.'s | Clinic/Center | 1520 E 23rd Str, Ste Q, Independence, MO 64055 | 2017-02-08 |
1942751045 | Mary C Younger | Counselor | 4710 S Cedar Crest Ct Ste 100, Independence, MO 64055 | 2016-10-24 |
1497163950 | Carolyn J Wells | Home Health Aide | 13308 E 43rd Terr S, Independence, MO 64055 | 2014-07-29 |
Find all providers in zip 64055 |
Taxonomy Code | 111N00000X |
Grouping | Chiropractic Providers |
Classification | Chiropractor |
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366088296 | Jennifer Lynn Shafer | Chiropractor | 19550 E 39th St S Ste 235, Independence, MO 64057-2305 | 2019-11-26 |
1942844972 | Shelby Cuellar | Chiropractor | 2051 Centennial Boulevard, Independence, KY 41051 | 2019-11-02 |
1710485925 | Paramount Health LLC | Chiropractor | 20100 E Jackson Dr Ste A, Independence, MO 64057-2120 | 2018-01-23 |
1982019840 | Timothy Paul Sullivan | Chiropractor | 17000 E Us Highway 40 Ste 7, Independence, MO 64055-5394 | 2014-06-30 |
1215370556 | Bryan Craig Baker | Chiropractor | 13723 E 39th St S, Independence, MO 64055-3321 | 2013-04-16 |
1881933356 | Certain Care Inc. | Chiropractor | 411 E 23rd St S, Suite D, Independence, MO 64055-1580 | 2013-02-04 |
1487906889 | Null Chiropractic LLC | Chiropractor | 204 E Chestnut St, Independence, KS 67301-3132 | 2012-10-09 |
1811246242 | Independence Chiropractic, Inc. | Chiropractor | 1922 Walton Nichoolson Road, Independence, KY 41051 | 2012-08-30 |
1255691507 | David Michael Opperman | Chiropractor | 14810 E 42nd St S Ste 100, Independence, MO 64055-4890 | 2012-05-21 |
1982979167 | Absolutely Chiropractic & Acupuncture, LLC | Chiropractor | 921 E Stone St, Independence, MO 64050-4664 | 2012-03-20 |
Find all providers in INDEPENDENCE |
City | INDEPENDENCE |
Zip Code | 64055 |
Please comment or provide details below to improve the information on ACTIVE BODY CHIROPRACTIC & WELLNESS, LLC.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.