MEDICARE: DR. CLAYTON THOMAS NEWBERRY D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	2016014932	MO

General Provider Information

NPI Number	:	1669828208
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CLAYTON THOMAS NEWBERRY D.C.

Provider Business Mailing Address
First Line	:	600 BROADWAY BLVD
Second Line	:	STE 175
City	:	KANSAS CITY
State	:	MO
Zip	:	64105-1536
Country	:	US
Telephone Number	:	314-238-6427
Fax Number	:

Provider Business Practice Location Address
First Line	:	125 NE 91ST ST
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64155-3329
Country	:	US
Telephone Number	:	816-436-7500
Fax Number	:	816-436-7501

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/13/2016
Last Update Date	:	03/04/2022

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Directions to “ DR. CLAYTON THOMAS NEWBERRY D.C.” Practice Location

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