=====================================================
General NPI Number Information
=====================================================
NPI Number | 1588709349
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | NIPPON CHIROPRACTIC & ACUPUNCTURE, INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/20/2007
-----------------------------------------------------
Last Update Date | 12/23/2010
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 9233 WARD PKWY SUITE 333
-----------------------------------------------------
City | KANSAS CITY
-----------------------------------------------------
State | MO
-----------------------------------------------------
Zip | 64114-3366
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 816-444-0204
-----------------------------------------------------
Fax | 816-444-7933
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 9233 WARD PKWY SUITE 333
-----------------------------------------------------
City | KANSAS CITY
-----------------------------------------------------
State | MO
-----------------------------------------------------
Zip | 64114-3366
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 816-444-0204
-----------------------------------------------------
Fax | 816-444-7933
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CHIROPRACTIC PHYSICIAN OWNER
-----------------------------------------------------
Name | DR. KENRI HONDA
-----------------------------------------------------
Credential | DC
-----------------------------------------------------
Telephone | 816-444-0204
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 111N00000X
-----------------------------------------------------
Taxonomy Name | Chiropractor
-----------------------------------------------------
License Number | 2002006767
-----------------------------------------------------
License Number State | MO
-----------------------------------------------------