Provider Demographics
NPI:1588709349
Name:NIPPON CHIROPRACTIC & ACUPUNCTURE, INC
Entity type:Organization
Organization Name:NIPPON CHIROPRACTIC & ACUPUNCTURE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTIC PHYSICIAN OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KENRI
Authorized Official - Middle Name:
Authorized Official - Last Name:HONDA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:816-444-0204
Mailing Address - Street 1:9233 WARD PKWY
Mailing Address - Street 2:SUITE 333
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64114-3366
Mailing Address - Country:US
Mailing Address - Phone:816-444-0204
Mailing Address - Fax:816-444-7933
Practice Address - Street 1:9233 WARD PKWY
Practice Address - Street 2:SUITE 333
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64114-3366
Practice Address - Country:US
Practice Address - Phone:816-444-0204
Practice Address - Fax:816-444-7933
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-20
Last Update Date:2010-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2002006767111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
36759011OtherBLUE CROSS BLUE SHIELD
9403072OtherPHCS
T720000Medicare ID - Type Unspecified
9403072OtherPHCS