Active NPI
Steinbrueck Chiropractic Health Center, LLC
- Chiropractor
- Palmyra, MO
National Provider Identifier
1063699726
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 004710
- Legal business name
- STEINBRUECK CHIROPRACTIC HEALTH CENTER, LLC
- Practice address
- 322 W Ross St
Palmyra, MO 63461-1420 - Phone
- (573) 769-3308
- Fax
- (573) 769-2061
- NPI assigned
- Jan 24, 2008
- Last updated
- Jul 18, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Randy Steinbrueck, D.C.
- Title
- Sole Member
- Phone
- (573) 769-3308
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 004710 | MO | Primary |
Addresses
Primary practice location
322 W Ross St
Palmyra, MO 63461-1420
Mailing address
322 W Ross St
Palmyra, MO 63461-1420
Phone (573) 769-3308
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
322 W Ross St
Palmyra, MO 63461
Phone (573) 769-3308
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.
-
- Chiropractor
- Palmyra, MO
- NPI 1033282587
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201132800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1721260800000",
"number": "1063699726",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "322 W ROSS ST",
"city": "PALMYRA",
"state": "MO",
"postal_code": "634611420",
"telephone_number": "573-769-3308",
"fax_number": "573-769-2061"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "322 W ROSS ST",
"city": "PALMYRA",
"state": "MO",
"postal_code": "634611420",
"telephone_number": "573-769-3308",
"fax_number": "573-769-2061"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STEINBRUECK CHIROPRACTIC HEALTH CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-01-24",
"last_updated": "2024-07-18",
"certification_date": "2024-07-18",
"status": "A",
"authorized_official_last_name": "STEINBRUECK",
"authorized_official_first_name": "RANDY",
"authorized_official_title_or_position": "SOLE MEMBER",
"authorized_official_telephone_number": "573-769-3308",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MO",
"license": "004710",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palmyra, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2024; 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.