Organization Active NPI

Harrison Chiropractic LLC

  • Chiropractor
  • Clinton, MO
National Provider Identifier
1053614602
Registry record updated Dec 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6330 Issued in MO
Legal business name
HARRISON CHIROPRACTIC LLC
Practice address
704 E Ohio St
Clinton, MO 64735-2388
Phone
(660) 885-3981
NPI assigned
Dec 20, 2010
Last updated
Dec 20, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2010

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

Authorized official

Name
Michael J Harrison, D.C.NPI 1871688473
Title
Owner
Phone
(660) 885-3981

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 6330 MO Primary

Addresses

Primary practice location

704 E Ohio St
Clinton, MO 64735-2388

Mailing address

704 E Ohio St
Clinton, MO 64735-2388
Phone (660) 885-3981

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110120000875 MO Part B Supplier - Clinic/Group Practice 4981883154 Receives reassigned benefits from 1 practitioner
Practice locations: Clinton, MO

National Provider Directory

National Provider Directory

Locations

704 E Ohio St
Ste 1
Clinton, MO 64735
Phone (660) 885-3981

704 E Ohio St
Clinton, MO 64735
Phone (660) 885-3981

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1292803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292803200000",
    "number": "1053614602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 E OHIO ST",
            "city": "CLINTON",
            "state": "MO",
            "postal_code": "647352388",
            "telephone_number": "660-885-3981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 E OHIO ST",
            "city": "CLINTON",
            "state": "MO",
            "postal_code": "647352388",
            "telephone_number": "660-885-3981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARRISON CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-20",
        "last_updated": "2010-12-20",
        "status": "A",
        "authorized_official_last_name": "HARRISON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "660-885-3981",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "6330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.