Boonville Chiropractic LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

BOONVILLE CHIROPRACTIC LLC

Practice address

321 Main St
Boonville, MO 65233-1565

Phone

(660) 882-5775

NPI assigned

Sep 8, 2021

Last updated

Sep 8, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tanner Green, DC, ATCNPI 1578146841

Title

Owner

Phone

(660) 537-4773

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tanner Wayne Green, DC, ATC

  • Chiropractor
  • Boonville, MO
  • NPI 1578146841
  Authorized official Same address or phone
• David Wayne Holtwick, D.C.

  • Chiropractor
  • Boonville, MO
  • NPI 1922189133
  NPD

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

{
    "created_epoch": "1631059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631059200000",
    "number": "1154090710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 MAIN ST",
            "city": "BOONVILLE",
            "state": "MO",
            "postal_code": "652331565",
            "telephone_number": "660-882-5775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 MAIN ST",
            "city": "BOONVILLE",
            "state": "MO",
            "postal_code": "652331565",
            "telephone_number": "660-882-5775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOONVILLE CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-08",
        "last_updated": "2021-09-08",
        "certification_date": "2021-09-08",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "TANNER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "660-537-4773",
        "authorized_official_credential": "DC, ATC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick C Beglau, LPC
• Jeff Birdsong, O.D.
• Brad Lee Boerio, R.PH.
• Shauna Lea Bohlken, APRN-CNP
• Boone Physician Services LLC (Boone Health Primary Care - Boonville)
• Boonville No 1 Inc (Lakeview Health Care & Rehabilitation Center)
• Boonville No2 Inc (Riverdell Care Center)
• Boonville Residential LLC (Hartmann Village)
• Jane Brengarth
• Bristol Care, Inc

• Clinic/Center in Boonville, MO
• Providers in Boonville, MO by specialty
• Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2021; 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.