JAY P SPORTSMAN (NPI# 1306853098) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306853098 |
| Entity Type | Individual |
| Full Name | JAY P SPORTSMAN |
| Credential | DC |
| Practice Address |
3715 N Oak Trafficway Kansas City MO 64116 |
| Mailing Address |
6453 N Amoret Ave Kansas City MO 64151 |
| Practice Telephone | 8164551414 |
| Practice Fax Number | 8164558343 |
| Mailing Telephone | 8165074613 |
| Mailing Fax Number | 8164558343 |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 2002032135 | MO | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | BCBS | 33601017 | 01 |
| Street Address |
3715 N OAK TRAFFICWAY |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64116 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326503830 | Ladeja Holland | Student in an Organized Health Care Education/Training Program | 4421 N Oak Trfy, Kansas City, MO 64116 | 2019-02-08 |
| 1982179388 | Casady's Counseling | Counselor | 1201 Nw Briarcliff Pkwy Ste 200 Office233, Kansas City, MO 64116 | 2018-10-11 |
| 1427543818 | Amanda E Foster | Physical Therapist | 3810 N Mulberry Drive 202, Kansas City, MO 64116 | 2018-06-27 |
| 1992290555 | Lucas J Mathes | Physician Assistant | 2790 Clay Edwards Drive, Suite 650, North Kansas City, MO 64116 | 2018-06-26 |
| 1952828816 | Danielle Marie Rush | Physical Therapist | 1501 Nw 38th St., Apt. 305, Kansas City, MO 64116 | 2017-08-23 |
| 1992229629 | Ankita Bhakta | Physical Therapy Assistant | 4407 N Mulberry Dr, Kansas City, MO 64116 | 2017-08-03 |
| 1720430945 | Deon Hicks | Physical Therapist | 851 Nw 45th Street, Suite 209, Kansas City, MO 64116 | 2016-07-12 |
| 1851712228 | Cindy Eldridge | Counselor | 1201 Nw Briarcliff Pkwy Ste 200, Kansas City, MO 64116 | 2014-01-02 |
| 1841629904 | Jamie Lyn Jackson | Specialist/Technologist | 2790 Clay Edwards Dr. Ste #650, North Kansas City, MO 64116 | 2013-11-08 |
| 1487099388 | Lisa M Grasing | Family Medicine | 4150 N. Mulberry Dr, Suite 160, Kansas City, MO 64116 | 2013-05-06 |
| Find all providers in zip 64116 | ||||
| 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 |
|---|---|---|---|---|
| 1689286577 | Matthew Burton | Chiropractor | 10801 E 50th St, Kansas City, MO 64133-2209 | 2020-08-20 |
| 1457979668 | Harrison Vawter | Chiropractor | 300 W 74th Ter, Kansas City, MO 64114-5746 | 2020-07-14 |
| 1710504477 | Summer Reed | Chiropractor | 4250 N Oak Trfy, Kansas City, MO 64116-4541 | 2020-06-29 |
| 1336765015 | Tyler Hoelting | Chiropractor | 3611 Main Street, Kansas City, MO 64111 | 2020-06-18 |
| 1992327613 | Quantum Wellness LLC | Chiropractor | 7280 Nw 87th Ter # C210, Kansas City, MO 64153-3720 | 2020-05-15 |
| 1104450428 | Anthony C Bolin II | Chiropractor | 1800 Wyandotte St # 201, Kansas City, MO 64108-1902 | 2020-02-25 |
| 1942834478 | Chirofit LLC | Chiropractor | 600 Broadway Blvd Ste 175, Kansas City, MO 64105-1536 | 2020-02-24 |
| 1952943482 | Lisa Vawter | Chiropractor | 7019 Oak St, Kansas City, MO 64113-2500 | 2019-10-16 |
| 1114578846 | Taylor Phipps | Chiropractor | 103 Archibald St, Kansas City, MO 64111-2214 | 2019-09-24 |
| 1588211544 | Sean Wattenbarger | Chiropractor | 612 E 117th Ter, Kansas City, MO 64131-3862 | 2019-08-23 |
| Find all providers in KANSAS CITY | ||||
| City | KANSAS CITY |
| Zip Code | 64116 |
Please comment or provide details below to improve the information on JAY P SPORTSMAN.
| 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.