Midwest Chiropractic Center LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2011003626 Issued in MO

Legal business name

MIDWEST CHIROPRACTIC CENTER LLC

Practice address

1081 E 18TH St
Suite a
Rolla, MO 65401-2448

Phone

(573) 426-4300

Fax

(573) 426-2009

NPI assigned

Aug 30, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Jacob G. Heaberlin, DC

Title

Member

Phone

(573) 426-4300

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Cameron Andrew Myers, D.C.

  • Chiropractor
  • Saint Louis, MO
  • NPI 1306164710
  NPD (past)

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

{
    "created_epoch": "1346284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346284800000",
    "number": "1023367471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 LAKESHORE DR",
            "city": "CUBA",
            "state": "MO",
            "postal_code": "654539687",
            "telephone_number": "573-426-4300",
            "fax_number": "573-426-2009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1081 E 18TH ST",
            "address_2": "SUITE A",
            "city": "ROLLA",
            "state": "MO",
            "postal_code": "654012448",
            "telephone_number": "573-426-4300",
            "fax_number": "573-426-2009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST CHIROPRACTIC CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-30",
        "last_updated": "2012-08-30",
        "status": "A",
        "authorized_official_last_name": "HEABERLIN",
        "authorized_official_first_name": "JACOB",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "573-426-4300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2011003626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathan Micklautz, CRNA
• Mid-Missouri Foot and Ankle Center
• Mid-Missouri Internal Medicine Inc
• Mid-Mo O&P LLC
• Angela Christine Middleton, FNP-BC, CEN
• Midwest Heart Group of Rolla, LLC
• Vera Mikhailova, MD
• Joshua Ryan Miller, DO
• Margaret P. Miller, L.C.S.W.
• Jonathan Lee Minor, M.D.

• All providers in Rolla, MO
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2012; 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.