EASTPORT CHIROPRACTIC
NPI 1396303822
Chiropractor in Lees Summit, MO

Q: What is Eastport Chiropractic, LLC's NPI number?

The NPI number for Eastport Chiropractic, LLC is 1396303822. It was assigned to this organization in the NPPES registry on May 30, 2019. The provider is doing business as Eastport Chiropractic.

Q: What is Eastport Chiropractic, LLC's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Active since May 30, 2019

4025 NE LAKEWOOD WAY STE 100, LEES SUMMIT, MO 64064(816) 598-4363(816) 709-3074 Get Directions Write a Review

NPPES record last updated: December 10, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 10, 2019, Oct 23, 2019, Sep 5, 2019 and 2 more (5 updates tracked since 2019).

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About Eastport Chiropractic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EASTPORT CHIROPRACTIC (NPI 1396303822) is a healthcare organization registered as a chiropractor in Lees Summit, Missouri and active in the NPI registry since May 2019. The organization lists Syrece Sherman, Owner, as its authorized official.

NPPES Registry Identity

NPI1396303822

Entity TypeOrganization

Primary Taxonomy111N00000X

Legal Business NameEASTPORT CHIROPRACTIC, LLC

Location Address4025 NE LAKEWOOD WAY STE 100Lees Summit, MO 64064-2058

Mailing Address4025 Ne Lakewood Way Ste 100Lees Summit, MO 64064-2058 · (816) 598-4363 · Fax (816) 709-3074

Phone(816) 598-4363

Fax(816) 709-3074

Organization SubpartNo

Authorized OfficialSyrece ShermanOwner · (816) 277-6815

Enumeration DateMay 30, 2019

Last NPPES UpdateDecember 10, 20195 updates tracked since enumeration

✔ NPI 1396303822 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

Definition

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

4025 NE LAKEWOOD WAY STE 100, Lees Summit, MO 64064

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Other Names 1

Doing Business AsEastport Chiropractic

Other Identifiers 1

Other50218029Blue Cross Of Kansas City

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Eastport 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 Eastport Chiropractic, which bills Medicare for the services this clinician delivers.

Clinician (1)

Syrece Sherman, DC

Chiropractic

NPI 1710308150

4025 NE LAKEWOOD WAY STE 100
Lees Summit, MO 64064

(816) 598-4363

✔ Accepts MedicareSame address

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 Eastport Chiropractic, LLC's NPI number?

The NPI number for Eastport Chiropractic, LLC is 1396303822. It was assigned to this organization in the NPPES registry on May 30, 2019. The provider is doing business as Eastport Chiropractic.

Where is Eastport Chiropractic, LLC located?

Eastport Chiropractic, LLC is located at 4025 NE Lakewood Way Ste 100, Lees Summit, MO 64064. The listed phone number is (816) 598-4363.

What is Eastport Chiropractic, LLC's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Eastport Chiropractic, LLC enrolled in Medicare?

Yes. Eastport Chiropractic, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Eastport Chiropractic, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Eastport 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 Eastport Chiropractic, LLC was last updated on December 10, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.