Desoto Chiropractic, P.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2004035442 Issued in MO

Legal business name

DESOTO CHIROPRACTIC, P.C.

Practice address

112 N Main St
De Soto, MO 63020-1709

Phone

(636) 586-4226

Fax

(636) 586-3791

NPI assigned

Jan 3, 2008

Last updated

Jan 3, 2008By 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

Jeffrey Daniel Carpenter, D.C.NPI 1396733598

Title

Owner

Phone

(636) 586-4226

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jeffrey D Carpenter, D.C.

  • Chiropractor
  • De Soto, MO
  • NPI 1396733598
  Medicare reassignment NPD Authorized official
• Mojgan Megan Kamali, DC

  • Chiropractor
  • Justin, TX
  • NPI 1053420281
  NPD (past)

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

{
    "created_epoch": "1199318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199318400000",
    "number": "1053596478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 N MAIN ST",
            "city": "DE SOTO",
            "state": "MO",
            "postal_code": "630201709",
            "telephone_number": "636-586-4226",
            "fax_number": "636-586-3791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 N MAIN ST",
            "city": "DE SOTO",
            "state": "MO",
            "postal_code": "630201709",
            "telephone_number": "636-586-4226",
            "fax_number": "636-586-3791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESOTO CHIROPRACTIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-03",
        "last_updated": "2008-01-03",
        "status": "A",
        "authorized_official_last_name": "CARPENTER",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "636-586-4226",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2004035442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gennadiy Dameshek, O.D.
• De Soto Drug Co Inc (Medicine Shoppe 1376)
• De Soto Eye Care LLC
• De Soto Public Schools
• Hattie Debord, FNP
• Desoto Investment Group LLC
• Desoto Investment Group LLC
• Desoto Residential Care Apts Inc (The Villas)
• Desoto Residential Care Apts, Inc. (The Villas)
• Desoto Vision Care LLC

• Chiropractor in De Soto, MO
• Providers in De Soto, MO by specialty
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2008; 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.