Spirit Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

SPIRIT CHIROPRACTIC LLC

Practice address

340 Westover Rd
Whiteman Air Force Base, MO 65305-1222

Phone

(906) 399-1681

NPI assigned

Oct 29, 2024

Organization subpart

No

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

Authorized official

Name

Marlie Gillis, DCNPI 1902500531

Title

Chiropractor

Phone

(906) 399-1681

Specialties & licenses 2

Addresses

Practitioners 1

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

• Marlie Gillis, DC

  • Chiropractor
  • Whiteman Air Force Base, MO
  • NPI 1902500531
  NPD Authorized official

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

{
    "created_epoch": "1730160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730160000000",
    "number": "1003638149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 144",
            "city": "KNOB NOSTER",
            "state": "MO",
            "postal_code": "653360144",
            "telephone_number": "906-399-1681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 WESTOVER RD",
            "city": "WHITEMAN AIR FORCE BASE",
            "state": "MO",
            "postal_code": "653051222",
            "telephone_number": "906-399-1681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPIRIT CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-29",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A",
        "authorized_official_last_name": "GILLIS",
        "authorized_official_first_name": "MARLIE",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "906-399-1681",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Price, OD
• Melanie Beverely Roberts-Fuston, LCSW
• Arthur Reynold Ross Jr., PHD
• Samuel Moore Saitie, PHARMD
• Shelby Lynn Smiley, DMSC, PA-C
• Emily Wascisin, DO

• All providers in Whiteman Air Force Base, MO
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.