Amanda Nichole Reilly, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2020038723 Issued in MO

Practice address

1010 S Main St
Maryville, MO 64468-2636

Phone

(660) 582-4357

NPI assigned

Dec 2, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Chiro One Wellness Center of Liberty LLC

  • Chiropractor
  • Kansas City, MO
  • NPI 1770248320
  Medicare reassignment NPD

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

{
    "created_epoch": "1606867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606867200000",
    "number": "1073118527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 S MAIN ST",
            "city": "MARYVILLE",
            "state": "MO",
            "postal_code": "644682636",
            "telephone_number": "816-260-4315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 S MAIN ST",
            "city": "MARYVILLE",
            "state": "MO",
            "postal_code": "644682636",
            "telephone_number": "660-582-4357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REILLY",
        "first_name": "AMANDA",
        "middle_name": "NICHOLE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-02",
        "last_updated": "2020-12-02",
        "certification_date": "2020-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2020038723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Richard Poynter, O. D.
• Phillip Mark Poynter, DDS
• Kelly Leann Quinlin, ATC, LAT, CSCS
• Samantha Jo Raasch, CD(DONA) ,PCD(DONA)
• Reign Physical Therapy LLC
• Darcy Richardson, DC
• Ileen Richey-Arellin, MSW LCSW
• Nolan A Ritzinger, PHARM.D
• Kevin Robertson, PLPC
• Susan Lea Roecker, D.C.

• Chiropractor in Maryville, MO
• Providers in Maryville, MO by specialty
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2020; 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.