Healthcare Provider Details

I. General information

NPI: 1821428020
Provider Name (Legal Business Name): ALEX NELSON D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/25/2013
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 NE MISSOURI RD STE 306
LEES SUMMIT MO
64086-4715
US

IV. Provider business mailing address

200 NE MISSOURI RD STE 306
LEES SUMMIT MO
64086-4715
US

V. Phone/Fax

Practice location:
  • Phone: 816-768-6000
  • Fax: 816-272-5902
Mailing address:
  • Phone: 816-768-6000
  • Fax: 816-272-5902

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number2012042911
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: