Colby Lovelace
Individual provider Active NPI Chiropractor · Doniphan, MO
NPI 1144889262 · NPPES record last updated Jun 12, 2019
Key facts
- NPI
- 1144889262
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 2019017072 (MO)
- Practice address
- 8 Oak Tree VLG
Doniphan, MO 63935-1901 - Phone
- (573) 996-7276
- NPI assigned
- Jun 12, 2019
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Logan College of Chiropractic, 2019
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
264 N 3Rd Ave
Lovelace Chiropractic
Piggott, AR 72454-2009
Phone (870) 634-6622
8 Oak Tree VLG
Doniphan, MO 63935-1901
Phone (573) 996-7276
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MO, AR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190731001922 | MO | Practitioner - Chiropractic | 5799011524 |
Reassigns benefits to 1 organization Practice locations: Doniphan, MO |
| I20240202003330 | AR | Practitioner - Chiropractic | 5799011524 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Current River Chiropractic LLC | Chiropractor | Current |
Accepting new patients |
| Lamoureux Chiropractic Centre | Past | Accepting new patients |
Locations
264 N 3rd Ave
Piggott, AR 72454
Phone (870) 324-5310
8 Oak Tree Vlg
Doniphan, MO 63935
Phone (573) 996-7276
301 Leroux St
#B
Doniphan, MO 63935
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2019017072 | MO | Yes |
Addresses
Primary practice location
8 Oak Tree VLG
Doniphan, MO 63935-1901
Mailing address
1481 Cypress Ave
Piggott, AR 72454-7591
Phone (870) 598-7054
Other providers in Doniphan, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 12, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.