NPIMap

Organization Active NPI

New Haven Family Chiropractic LLC

  • Chiropractor
  • New Haven, MO
National Provider Identifier
1083968283
Registry record updated Sep 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
006626 Issued in MO
Legal business name
NEW HAVEN FAMILY CHIROPRACTIC LLC
Practice address
105 Franklin Ave
New Haven, MO 63068-1426
Phone
(573) 237-7800
Fax
(573) 234-6542
NPI assigned
Nov 9, 2012
Last updated
Sep 3, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2014

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

Authorized official

Name
Dr. Doris Marie Kutz-Compton, DCNPI 1740363720
Title
Owner
Phone
(573) 237-7800

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
Chiropractor 111N00000X 006626 MO Primary

Addresses

Primary practice location

105 Franklin Ave
New Haven, MO 63068-1426

Mailing address

105 Franklin Ave
New Haven, MO 63068-1426
Phone (573) 237-7800

Other identifiers 3

IdentifierTypeStateIssuer
118500OtherBLUE CROSS BLUE SHIELD
384104OtherHEALTHLINK
4401300OtherUNITED HEALTH CARE

National Provider Directory

National Provider Directory

Locations

105 Franklin Ave
New Haven, MO 63068
Phone (573) 237-7800

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": "1352419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409702400000",
    "number": "1083968283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 FRANKLIN AVE",
            "city": "NEW HAVEN",
            "state": "MO",
            "postal_code": "630681426",
            "telephone_number": "573-237-7800",
            "fax_number": "573-234-6542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 FRANKLIN AVE",
            "city": "NEW HAVEN",
            "state": "MO",
            "postal_code": "630681426",
            "telephone_number": "573-237-7800",
            "fax_number": "573-234-6542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW HAVEN FAMILY CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-09",
        "last_updated": "2014-09-03",
        "status": "A",
        "authorized_official_last_name": "KUTZ-COMPTON",
        "authorized_official_first_name": "DORIS",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "573-237-7800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "006626",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "118500",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "384104",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "4401300",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Haven, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2014; 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.