Optimal Health Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2004004400 Issued in MO

Legal business name

OPTIMAL HEALTH CHIROPRACTIC LLC

Practice address

2476 Taylor Rd
Grover, MO 63040-1222

Phone

(636) 458-7575

Fax

(636) 458-7979

NPI assigned

Apr 24, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Stephanie Lynn Smith, D.C.NPI 1619996394

Title

Owner

Phone

(636) 458-7575

Specialties & licenses 1

Addresses

Other names 1

• stephanie smith Other name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stephanie Smith, D.C.

  • Chiropractor
  • Grover, MO
  • NPI 1619996394
  NPD (past) Authorized official

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073732863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2476 TAYLOR RD",
            "city": "GROVER",
            "state": "MO",
            "postal_code": "630401222",
            "telephone_number": "636-458-7575",
            "fax_number": "636-458-7979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2476 TAYLOR RD",
            "city": "GROVER",
            "state": "MO",
            "postal_code": "630401222",
            "telephone_number": "636-458-7575",
            "fax_number": "636-458-7979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMAL HEALTH CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "636-458-7575",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2004004400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "stephanie smith",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Rodney Glenn Lofton, DDS
• Gerald S Lowther, MD
• Raymond Joseph Marey, D. D. S.
• Lucas J Meyer, D.M.D.
• Marla M Olish, PNP
• Elizabeth Pemberton, AGNP
• Karl Robert Peterson, APRN CNM
• Professional Healthcare Services, LLC
• Stephanie Smith, D.C.
• Andrew Warner, M.ED, PLPC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.