Look up the most recent NPI and PECOS records

Summit Family Chiropractic

Chiropractor

Chiropractic Providers

PECOS Enrollment

Based on the most recent information from CMS, provider Summit Family Chiropractic does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 11:47 AM.

Profile Details

Provider ID
1780876425
Provider Type
Organization
Full Name
Summit Family Chiropractic

Subpart
No
Enumeration Date
8/16/2007
Last Updated
8/16/2013

Contact Information

Practice Location

312 NE Hwy 291, Lees Summit, MO 64086

(816) 246-4325

Unlisted Fax

Mailing Location

312 NE Hwy 291, Lees Summit, MO 64086

(816) 246-4325

Unlisted Fax

Authorized Official

Kouba, Seth A (Owner)

(816) 246-4325

Provider Taxonomies

Code	Description	License
Code 111N00000X Primary	Description Chiropractor Chiropractic Providers	License 2004017439 Missouri

Provider Identifiers

ID	Description	Issuer
ID 34831017	Description Other	Issuer BLUE SHIELD OF KANSAS CIT Missouri

Summit Family Chiropractic

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Authorized Official

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

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Jirak, Reagan

Adam Jameson Dc Pc

Alo Pain Relief Clinics Llc

Zachary Jameson Dc Pc

Eddins, Karlye Carol

Uhl, Nathaniel L.

Dr. Mary E Hasley D.C.P.C.

Mccoy, Emily

Natural Way Chiropractic Center Of Lee'S Summit, Llc