Organization Active NPI

Perusich Chiropractic Associates, LLC

Doing business as Backbone of Health

  • Chiropractor
  • Sedalia, MO
National Provider Identifier
1144317017
Registry record updated Aug 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1999134950 Issued in MO
Legal business name
PERUSICH CHIROPRACTIC ASSOCIATES, LLC
Doing business as
Backbone of Health
Practice address
910 Thompson Blvd
Sedalia, MO 65301-2241
Phone
(660) 829-2600
Fax
(660) 829-2607
NPI assigned
Oct 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2010

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

Authorized official

Name
Dr. Michael R Perusich, D.C.
Title
Clinic Director
Phone
(660) 829-2600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 1999134950 MO Primary

Addresses

Primary practice location

910 Thompson Blvd
Sedalia, MO 65301-2241

Mailing address

910 Thompson Blvd
Sedalia, MO 65301-2241
Phone (660) 829-2600

Other names 1

  • Backbone of Health Doing business as

National Provider Directory

National Provider Directory

Locations

910 Thompson Blvd
#7153
Sedalia, MO 65301

910 Thompson Blvd
Sedalia, MO 65301
Phone (660) 829-2600

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": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280707200000",
    "number": "1144317017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 THOMPSON BLVD",
            "city": "SEDALIA",
            "state": "MO",
            "postal_code": "653012241",
            "telephone_number": "660-829-2600",
            "fax_number": "660-829-2607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 THOMPSON BLVD",
            "city": "SEDALIA",
            "state": "MO",
            "postal_code": "653012241",
            "telephone_number": "660-829-2600",
            "fax_number": "660-829-2607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERUSICH CHIROPRACTIC ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2010-08-02",
        "status": "A",
        "authorized_official_last_name": "PERUSICH",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "660-829-2600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "1999134950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Backbone of Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sedalia, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2010; 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.