Organization Active NPI

Desired Health Chiropractic, LLC

  • Chiropractor
  • Farmington, MO
National Provider Identifier
1003016676
Registry record updated Jul 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2007020754 Issued in MO
Legal business name
DESIRED HEALTH CHIROPRACTIC, LLC
Practice address
530 N Middle St
Farmington, MO 63640-1570
Phone
(573) 756-6496
NPI assigned
Jul 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Adam Paul Overcast, D.O.NPI 1861692428
Title
Chiropractor
Phone
(573) 756-6496

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2007020754 MO Primary

Addresses

Primary practice location

530 N Middle St
Farmington, MO 63640-1570

Mailing address

530 N Middle St
Farmington, MO 63640-1570
Phone (573) 756-6496

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071026000219 MO Part B Supplier - Clinic/Group Practice 9830286681 Receives reassigned benefits from 2 practitioners
Practice locations: Farmington, MO

National Provider Directory

National Provider Directory

Locations

134 W Pine St
Farmington, MO 63640
Phone (573) 756-6496

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1185148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185148800000",
    "number": "1003016676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 N MIDDLE ST",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636401570",
            "telephone_number": "573-756-6496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 N MIDDLE ST",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636401570",
            "telephone_number": "573-756-6496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESIRED HEALTH CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-23",
        "last_updated": "2007-07-23",
        "status": "A",
        "authorized_official_last_name": "OVERCAST",
        "authorized_official_first_name": "ADAM",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "573-756-6496",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2007020754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.