NPIMap

Organization Active NPI

Innate Health and Wellness

  • Chiropractor
  • Columbia, MO
National Provider Identifier
1104461029
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
INNATE HEALTH AND WELLNESS
Practice address
1511 Chapel Hill Rd.
Columbia, MO 65203-5475
Phone
(573) 446-2242
Fax
(573) 446-5575
NPI assigned
Nov 14, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

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

Authorized official

Name
Nicholas Hagan, D.C.NPI 1821510587
Title
Owner
Phone
(573) 446-2242

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: 193200000X MULTI-SPECIALTY GROUP 111N00000X Primary
Clinic/Center 261Q00000X

Addresses

Primary practice location

1511 Chapel Hill Rd.
Columbia, MO 65203-5475

Mailing address

1511 Chapel Hill Rd Ste 200
Columbia, MO 65203-5452
Phone (573) 446-2242

Other names 1

  • Advanced Physical Health Doing business as

National Provider Directory

National Provider Directory

Locations

1511 Chapel Hill Rd
Columbia, MO 65203
Phone (573) 446-2242

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": "1573689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788307200000",
    "number": "1104461029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1511 CHAPEL HILL RD STE 200",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652035452",
            "telephone_number": "573-446-2242",
            "fax_number": "573-446-5575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1511 CHAPEL HILL RD.",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652035475",
            "telephone_number": "573-446-2242",
            "fax_number": "573-446-5575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNATE HEALTH AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-14",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A",
        "authorized_official_last_name": "HAGAN",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "573-446-2242",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Physical Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbia, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; 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.