SJ Black Investments LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2008001513 Issued in MO

Legal business name

SJ BLACK INVESTMENTS LLC

Doing business as

Active Chiropractic & Spinal Health

Practice address

501A South Franklin Street
Cuba, MO 65453

Phone

(573) 268-8226

NPI assigned

Jul 6, 2011

Last updated

Jul 6, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Seth Black, D.C.

Title

Owner

Phone

(573) 268-8226

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Active Chiropractic & Spinal Health Doing business as

Locations

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

{
    "created_epoch": "1309910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309910400000",
    "number": "1033406434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501A SOUTH FRANKLIN STREET",
            "city": "CUBA",
            "state": "MO",
            "postal_code": "65453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501A SOUTH FRANKLIN STREET",
            "city": "CUBA",
            "state": "MO",
            "postal_code": "65453",
            "telephone_number": "573-268-8226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SJ BLACK INVESTMENTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-06",
        "last_updated": "2011-07-06",
        "status": "A",
        "authorized_official_last_name": "BLACK",
        "authorized_official_first_name": "SETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "573-268-8226",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2008001513",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER INDIVIDUAL NPI NUMBER",
            "identifier": "1508044991",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "149800001",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Active Chiropractic & Spinal Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Max Ruvinov
• Patrycia Sellers
• Terry L. Sellers, D. C.
• Aleksander Douglas Shelton, CPHT
• Christian Shelton
• South Central Missouri Community Health Center (Four Rivers Community Health Center)
• St Johns Clinic Inc (SJC-Cuba)
• Stubblefield Enterprises Inc.
• Stubblefield Manor CNSL Operation LLC
• Amirah Binti Tan Abdullah, MD

• Chiropractor in Cuba, MO
• Providers in Cuba, MO by specialty
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2011; 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.