CLEMENTS CHIROPRACTIC
NPI 1104522804
Chiropractor in Overland Park, KS
About Clements Chiropractic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CLEMENTS CHIROPRACTIC (NPI 1104522804) is a healthcare organization registered as a chiropractor in Overland Park, Kansas and active in the NPI registry since February 2023. The organization lists Jackson D Clements, Chiropractor, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Clements Chiropractic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Clements Chiropractic, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Clements Chiropractic LLC's NPI number?
The NPI number for Clements Chiropractic LLC is 1104522804. It was assigned to this organization in the NPPES registry on February 3, 2023. The provider is doing business as Clements Chiropractic.
Where is Clements Chiropractic LLC located?
Clements Chiropractic LLC is located at 12631 Antioch Rd, Overland Park, KS 66213. The listed phone number is (913) 685-0022.
What is Clements Chiropractic LLC's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Clements Chiropractic LLC enrolled in Medicare?
Yes. Clements Chiropractic LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Clements Chiropractic LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Clements Chiropractic LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Clements Chiropractic LLC was last updated on February 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Clements Chiropractic · NPI 1104522804
Chiropractor organization in Overland Park, Kansas. Organization record, active in the CMS NPPES registry since February 3, 2023.
## Identity
- **NPI:** 1104522804 (Entity type: Organization)
- **Enumerated:** February 3, 2023
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **Legal business name:** Clements Chiropractic Llc
- **Organization subpart:** No
- **Authorized official:** Jackson Clements, CHIROPRACTOR
## Practice location
- **Address:** 12631 ANTIOCH RD, Overland Park, KS 66213-1701
- **Phone:** (913) 685-0022
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Chiropractic) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 6, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1104522804) · Data from the CMS NPPES public registry.