Organization Active NPI

Pleasant Hill Chiropractic

  • Chiropractor
  • Pleasant Hill, MO
National Provider Identifier
1104041631
Registry record updated Feb 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2003026730 Issued in MO
Legal business name
PLEASANT HILL CHIROPRACTIC
Practice address
1805 North 7 Highway
Pleasant Hill, MO 64080-1464
Phone
(816) 540-8932
Fax
(816) 540-8937
NPI assigned
Apr 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2022

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

Authorized official

Name
Dr. Corey Scott Piva, DONPI 1932290434
Title
Chiropractor
Phone
(816) 540-8932

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 2003026730 MO Primary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 0104704 KS

Addresses

Primary practice location

1805 North 7 Highway
Pleasant Hill, MO 64080-1464

Mailing address

1805 N 7 Hwy
Pleasant Hill, MO 64080-9421
Phone (816) 540-8932

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070416000451 MO Part B Supplier - Clinic/Group Practice 5395840623 Receives reassigned benefits from 1 practitioner
Practice locations: Pleasant Hill, MO

National Provider Directory

National Provider Directory

Locations

1805 N State Route 7
Pleasant Hill, MO 64080
Phone (816) 540-8932

Practitioners & affiliated clinicians

Practitioners 2

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": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644192000000",
    "number": "1104041631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 N 7 HWY",
            "city": "PLEASANT HILL",
            "state": "MO",
            "postal_code": "640809421",
            "telephone_number": "816-540-8932",
            "fax_number": "816-540-8937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 NORTH 7 HIGHWAY",
            "city": "PLEASANT HILL",
            "state": "MO",
            "postal_code": "640801464",
            "telephone_number": "816-540-8932",
            "fax_number": "816-540-8937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLEASANT HILL CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2022-02-07",
        "certification_date": "2022-02-07",
        "status": "A",
        "authorized_official_last_name": "PIVA",
        "authorized_official_first_name": "COREY",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "816-540-8932",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2003026730",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "0104704",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasant Hill, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2022; 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.