Timothy Scott Ellefson, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

005765 Issued in MO

Practice address

66 Kennedy St
Union Chiropractic Center
Union, MO 63084

Phone

(636) 583-2675

Fax

(636) 583-2675

NPI assigned

Nov 8, 2006

Last updated

Oct 31, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Specialty

Chiropractic

Education

Logan College of Chiropractic, 1989

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Networks

• IA HMO C-SNP
• IA HMO

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Timothy S. Ellefson D.C.,P.C.

  dba Union Chiropractic Center

  • Chiropractor
  • Union, MO
  • NPI 1508133455
  Authorized official Same address or phone

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572480000000",
    "number": "1043380017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 KENNEDY ST",
            "address_2": "UNION CHIROPRACTIC CENTER",
            "city": "UNION",
            "state": "MO",
            "postal_code": "63084",
            "telephone_number": "636-583-2675",
            "fax_number": "636-583-2675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 KENNEDY ST",
            "address_2": "UNION CHIROPRACTIC CENTER",
            "city": "UNION",
            "state": "MO",
            "postal_code": "63084",
            "telephone_number": "636-583-2675",
            "fax_number": "636-583-2675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLEFSON",
        "first_name": "TIMOTHY",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2019-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "005765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Elise Eckelkamp, M.S. CCC-SLP
• Jenna N Eckelkamp, DPT
• Michael Q. Edwards, D.M.D.
• Elise Marie Eichberg, LPC
• Rhiannon Elise Eilers, LMSW
• Margaret Anne Ellett, APRN
• Everything Respiratory
• Trisha Lynnette Ezell, RN
• Brian James Falls, LPC
• Family Chiropractic, P.C.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.