Organization Active NPI

Steinbrueck Chiropractic Health Center, LLC

  • Chiropractor
  • Palmyra, MO
National Provider Identifier
1063699726
Registry record updated Jul 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
004710 Issued in MO
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, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2024

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

Authorized official

Name
Dr. Randy Steinbrueck, D.C.NPI 1033282587
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)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
O20050111000036 MO Part B Supplier - Clinic/Group Practice 0244288819 Receives reassigned benefits from 1 practitioner
Practice locations: Palmyra, MO

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.