MEDICARE: DR. THAYER BANWART 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	2015018443	MO
2	111N00000X	Chiropractor	01-05732	KS

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1912577461	OTHER	MO	TYPE 2 ORGANIZATION NPI PECULIAR CHIROPRACTIC
2	58109017	OTHER	MO	ARC BCBS PROVIDER ID
3	1619465945	OTHER	MO	TYPE 2 ORGANIZATION NPI ARC
4	65182016	OTHER	MO	PECULIAR CHIROPRACTIC BCBS PROVIDER ID

General Provider Information

NPI Number	:	1881076404
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. THAYER BANWART D.C.

Provider Business Mailing Address
First Line	:	304 SW SEAGULL ST
Second Line	:
City	:	LEES SUMMIT
State	:	MO
Zip	:	64082-4514
Country	:	US
Telephone Number	:	913-602-2866
Fax Number	:

Provider Business Practice Location Address
First Line	:	4609 PASEO BLVD STE 100
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64110-1843
Country	:	US
Telephone Number	:	913-602-2866
Fax Number	:

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

Provider Enumeration Date	:	06/19/2015
Last Update Date	:	11/15/2022

Similar Medicare Providers

1619465945 — ARCKCMO LLC
Practice Location Address:

4609 PASEO BLVD STE 100
KANSAS CITY, MO
64110-1843

Practice Phone: 913-424-0324
Practice Fax:

1508724436 — MELISSA ELYSE GOMEZ
Practice Location Address:

1843 C AVE
NATIONAL CITY, CA
91950-5614

Practice Phone: 619-890-5160
Practice Fax:

1407064512 — MRS. NORMA NASR RD
Practice Location Address:

445 MAPLEWOOD TRL
MICHIGAN CITY, IN
46360-1843

Practice Phone: 219-874-4822
Practice Fax:

1538328554 — MINDFUL HEALTH INC
Practice Location Address:

2000 BROADWAY ST , STE 234
REDWOOD CITY, CA
94063-1843

Practice Phone: 650-363-7234
Practice Fax: 650-363-7279

1558744763 — EVAN EASTMAN
Practice Location Address:

1843 LOWER MUSCATINE RD
IOWA CITY, IA
52240-3105

Practice Phone: 319-384-8822
Practice Fax: 319-354-1002

1528510138 — CAREATC-CITY OF MONROE
Practice Location Address:

215 N BROAD ST , CITY HALL
MONROE, GA
30655-1843

Practice Phone: 800-993-8244
Practice Fax:

Directions to “ DR. THAYER BANWART D.C.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.