Organization Active NPI

Callaway Chiropractic & Acupuncture Center, Inc.

  • Chiropractor
  • Fulton, MO
National Provider Identifier
1083869952
Registry record updated Nov 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4812 Issued in MO
Legal business name
CALLAWAY CHIROPRACTIC & ACUPUNCTURE CENTER, INC.
Practice address
305 Manor Dr
Fulton, MO 65251-2548
Phone
(573) 642-1168
Fax
(573) 592-8838
NPI assigned
Nov 19, 2008
Last updated
Nov 19, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2008

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

Authorized official

Name
Dr. Dana L Robertson, DCNPI 1770631152
Title
President
Phone
(573) 642-1168

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 4812 MO Primary

Addresses

Primary practice location

305 Manor Dr
Fulton, MO 65251-2548

Mailing address

305 Manor Dr
Fulton, MO 65251-2548
Phone (573) 642-1168

National Provider Directory

National Provider Directory

Locations

305 Manor Dr
Fulton, MO 65251
Phone (573) 642-1168

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": "1227052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227052800000",
    "number": "1083869952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 MANOR DR",
            "city": "FULTON",
            "state": "MO",
            "postal_code": "652512548",
            "telephone_number": "573-642-1168",
            "fax_number": "573-592-8838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 MANOR DR",
            "city": "FULTON",
            "state": "MO",
            "postal_code": "652512548",
            "telephone_number": "573-642-1168",
            "fax_number": "573-592-8838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALLAWAY CHIROPRACTIC & ACUPUNCTURE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-19",
        "last_updated": "2008-11-19",
        "status": "A",
        "authorized_official_last_name": "ROBERTSON",
        "authorized_official_first_name": "DANA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "573-642-1168",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "4812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fulton, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2008; 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.