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CHIRO ONE WELLNESS CENTER OF LIBERTY LLC
NPI 1770248320
Chiropractor in Kansas City, MO

Active since November 08, 2021
9040 NE BARRY RD, KANSAS CITY, MO 64157(816) 368-8700 Get Directions Write a Review

NPPES record last updated: March 20, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 20, 2023, Dec 16, 2022, Dec 2, 2022 and 2 more (5 updates tracked since 2021).

About Chiro One Wellness Center Of Liberty Llc NPPES

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

CHIRO ONE WELLNESS CENTER OF LIBERTY LLC (NPI 1770248320) is a healthcare organization registered as a chiropractor in Kansas City, Missouri and active in the NPI registry since November 2021. The organization lists Stuart Bernsen, Ceo, as its authorized official.

NPPES Registry Identity

NPI1770248320
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameCHIRO ONE WELLNESS CENTER OF LIBERTY LLC
Location Address9040 NE BARRY RDKansas City, MO 64157-1246
Mailing AddressPo Box 74008519 Chiro One1651Chicago, IL 60674-0001 · (630) 320-6400 · Fax (630) 468-1478
Phone(816) 368-8700
Organization SubpartNo
Authorized OfficialStuart BernsenCeo · (630) 320-6400
Enumeration DateNovember 8, 2021
Last NPPES UpdateMarch 20, 20235 updates tracked since enumeration
NPPES CertifiedMarch 20, 2023
✔ NPI 1770248320 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.
9040 NE BARRY RD, Kansas City, MO 64157
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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, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Chiro One Wellness Center Of Liberty Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateMissouriEnrollment IDO20211215001985Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Chiro One Wellness Center Of Liberty LLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (7)

Bijan Siadati, D.C
Chiropractic
NPI 1225133283
3566 BROADWAY ST
Kansas City, MO 64111
(816) 561-4444
14 mi
John Braithwaite, D.C., M.S.
Chiropractic
NPI 1508028754
8437 STATE AVE STE A
Kansas City, KS 66112
(913) 299-0276
✔ Accepts Medicare19 mi
Joben Barnes, DC
Chiropractic
NPI 1730794777
9150 GLENWOOD ST
Overland Park, KS 66212
(913) 385-1999
✔ Accepts Medicare22 mi
Brendon Pal, DC
Chiropractic
NPI 1821803677
11081 ANTIOCH RD
Overland Park, KS 66210
(913) 649-4045
✔ Accepts Medicare25 mi
Matthew Holland, DC
Chiropractic
NPI 1861260952
13306 W 130TH ST
Overland Park, KS 66213
(913) 232-1575
✔ Accepts Medicare29 mi
Amanda Reilly, DC
Chiropractic
NPI 1073118527
1010 S MAIN ST
Maryville, MO 64468
(660) 582-4357
79 mi
Samantha Leuthauser, DC
Chiropractic
NPI 1033002647
17684 CHESTERFIELD AIRPORT RD
Chesterfield, MO 63005
(636) 777-8115
✔ Accepts Medicare211 mi

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 Chiro One Wellness Center Of Liberty LLC's NPI number?

The NPI number for Chiro One Wellness Center Of Liberty LLC is 1770248320. It was assigned to this organization in the NPPES registry on November 8, 2021.

Where is Chiro One Wellness Center Of Liberty LLC located?

Chiro One Wellness Center Of Liberty LLC is located at 9040 NE Barry Rd, Kansas City, MO 64157. The listed phone number is (816) 368-8700.

What is Chiro One Wellness Center Of Liberty LLC's specialty?

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

Is Chiro One Wellness Center Of Liberty LLC enrolled in Medicare?

Yes. Chiro One Wellness Center Of Liberty LLC is registered in the Medicare PECOS enrollment system.

When is Chiro One Wellness Center Of Liberty LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Missouri, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Chiro One Wellness Center Of Liberty LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians, all in Chiropractic, reassign their Medicare billing to Chiro One Wellness Center Of Liberty 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 Chiro One Wellness Center Of Liberty LLC was last updated on March 20, 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.