Individual provider Active NPI

Michael Christopher Essmyer, D.C.

  • Chiropractor
  • Desloge, MO
National Provider Identifier
1063539773
Registry record updated Dec 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2003030306 Issued in MO
Practice address
311 N State St
Desloge, MO 63601-3051
Phone
(573) 431-1550
Fax
(573) 431-6991
NPI assigned
Mar 26, 2007
Last updated
Dec 28, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2003030306 MO Primary

Addresses

Primary practice location

311 N State St
Desloge, MO 63601-3051

Mailing address

PO Box 565
Potosi, MO 63664-0565
Phone (573) 431-1550

Other identifiers 3

IdentifierTypeStateIssuer
194205OtherMOBLUE CROSS BLUE SHIELD
666018OtherMOUNITED HEALTHCARE
693960OtherMOHEALTHLINK

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050316000689 MO Practitioner - Chiropractic 5698729861 Reassigns benefits to 1 organization
Practice locations: Desloge, MO

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

311 N State St
Desloge, MO 63601-3051
Phone (573) 431-1550

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2003030306MOMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Desloge Chiropractic Health Center, LLC Chiropractor CurrentSince Nov 30, 2004 Accepting new patients

Locations

311 N State St
Desloge, MO 63601
Phone (573) 431-1550

334 N State St
Ste C-1
Desloge, MO 63601

334 N State St
Ste Cl
Desloge, MO 63601
Phone (573) 747-7882

Organizations & group practices 1

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609113600000",
    "number": "1063539773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 565",
            "city": "POTOSI",
            "state": "MO",
            "postal_code": "636640565",
            "telephone_number": "573-431-1550",
            "fax_number": "573-431-6991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 N STATE ST",
            "city": "DESLOGE",
            "state": "MO",
            "postal_code": "636013051",
            "telephone_number": "573-431-1550",
            "fax_number": "573-431-6991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESSMYER",
        "first_name": "MICHAEL",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-26",
        "last_updated": "2020-12-28",
        "certification_date": "2020-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2003030306",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "194205",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "666018",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "693960",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Desloge, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2020; 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.