NPIMap

Organization Active NPI

Lincoln County Chiropractic LLC

  • Chiropractor
  • Troy, MO
National Provider Identifier
1104124528
Registry record updated Mar 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2010021723 Issued in MO
Legal business name
LINCOLN COUNTY CHIROPRACTIC LLC
Practice address
9 The PLZ
Troy, MO 63379-1365
Phone
(636) 528-7898
Fax
(636) 528-4693
NPI assigned
Mar 9, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2011

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

Authorized official

Name
Dr. Destiny Werdehausen, D.C.
Title
Owner
Phone
(636) 528-7898

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2010021723 MO Primary

Addresses

Primary practice location

9 The PLZ
Troy, MO 63379-1365

Mailing address

9 The PLZ
Troy, MO 63379-1365
Phone (636) 528-7898

Other names 1

  • Lincoln County Chiropractic Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1299628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299628800000",
    "number": "1104124528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 THE PLZ",
            "city": "TROY",
            "state": "MO",
            "postal_code": "633791365",
            "telephone_number": "636-528-7898",
            "fax_number": "636-528-4693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 THE PLZ",
            "city": "TROY",
            "state": "MO",
            "postal_code": "633791365",
            "telephone_number": "636-528-7898",
            "fax_number": "636-528-4693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINCOLN COUNTY CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-09",
        "last_updated": "2011-03-09",
        "status": "A",
        "authorized_official_last_name": "WERDEHAUSEN",
        "authorized_official_first_name": "DESTINY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "636-528-7898",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2010021723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lincoln County Chiropractic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Troy, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2011; 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.