Active NPI
Haydn Burk Powell Jr.
- Chiropractor
- Salem, MO
National Provider Identifier
1003023631
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 003881
- Practice address
- 803 W Highway 32
Suite B
Salem, MO 65560-2576 - Phone
- (573) 729-3542
- NPI assigned
- May 16, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 003881 | MO | Primary |
Addresses
Primary practice location
803 W Highway 32
Suite B
Salem, MO 65560-2576
Mailing address
803 Hwy 32 West
Suite B
Salem, MO 65560
Phone (573) 729-3542
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003881 | MO | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Big Springs Medical Association | Past | Accepting new patients |
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/7fa95236-8ac0-416b-a8ed-2e866ba26ee3/
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Poplar Bluff, MO
- NPI 1972466233
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1408406400000",
"number": "1003023631",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "803 HWY 32 WEST",
"address_2": "SUITE B",
"city": "SALEM",
"state": "MO",
"postal_code": "65560",
"telephone_number": "573-729-3542"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "803 W HIGHWAY 32",
"address_2": "SUITE B",
"city": "SALEM",
"state": "MO",
"postal_code": "655602576",
"telephone_number": "573-729-3542"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POWELL",
"first_name": "HAYDN",
"middle_name": "BURK",
"name_suffix": "Jr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-16",
"last_updated": "2014-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MO",
"license": "003881",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salem, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.