Organization Active NPI

Mullin Chiropractic, Inc.

  • Chiropractor
  • Springfield, MO
National Provider Identifier
1104008580
Registry record updated Jun 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2004008980 Issued in MO
Legal business name
MULLIN CHIROPRACTIC, INC.
Practice address
1266 E Republic Rd
Springfield, MO 65804-7209
Phone
(417) 882-1000
Fax
(417) 447-4599
NPI assigned
Nov 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2013

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

Authorized official

Name
David Thomas Mullin, DC
Title
President
Phone
(417) 882-1000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X DC28136 CA
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 2004008980 MO Primary

Addresses

Primary practice location

1266 E Republic Rd
Springfield, MO 65804-7209

Mailing address

1266 E Republic Rd
Springfield, MO 65804-7209
Phone (417) 882-1000

Other names 1

  • Twin Oaks Chiropractic and Acupuncture Doing business as

National Provider Directory

National Provider Directory

Locations

1266 E Republic Rd
Springfield, MO 65804
Phone (417) 882-1000

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1196208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372204800000",
    "number": "1104008580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1266 E REPUBLIC RD",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658047209",
            "telephone_number": "417-882-1000",
            "fax_number": "417-447-4599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1266 E REPUBLIC RD",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658047209",
            "telephone_number": "417-882-1000",
            "fax_number": "417-447-4599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MULLIN CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-28",
        "last_updated": "2013-06-26",
        "status": "A",
        "authorized_official_last_name": "MULLIN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "417-882-1000",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC28136",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2004008980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Twin Oaks Chiropractic and Acupuncture",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Springfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2013; 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.