Gregory Leo Collier, DC – Chiropractor in Canton, MO

Key facts

NPI: 1013227925
Entity type: Individual (NPI type 1)
Primary specialty: Chiropractor 111N00000X
License: 004251 (MO)
Practice address: 705 College St
Canton, MO 63435-1236
Phone: (573) 288-3245
Fax: (573) 288-5920
NPI assigned: Oct 13, 2010
Sex: Male
Sole proprietor: Yes

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
004251	MO	MD	Chiropractor

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Chiropractor	111N00000X	004251	MO	Yes

Addresses

Primary practice location

705 College St
Canton, MO 63435-1236

Mailing address

705 College St
Canton, MO 63435-1236
Phone (573) 288-3245

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 13, 2010.

{
    "created_epoch": "1286928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286928000000",
    "number": "1013227925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 COLLEGE ST",
            "city": "CANTON",
            "state": "MO",
            "postal_code": "634351236",
            "telephone_number": "573-288-3245",
            "fax_number": "573-288-5920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 COLLEGE ST",
            "city": "CANTON",
            "state": "MO",
            "postal_code": "634351236",
            "telephone_number": "573-288-3245",
            "fax_number": "573-288-5920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLIER",
        "first_name": "GREGORY",
        "middle_name": "LEO",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-10-13",
        "last_updated": "2010-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "004251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, MO

All providers in Canton, MO · Chiropractor in Missouri

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 13, 2010. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.