Active NPI
Michael Thompson, D.C.
- Chiropractor
- Boonville, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2002023866
- Practice address
- 1951 Boone Villa Dr
Boonville, MO 65233-1994 - Phone
- (660) 882-3333
- Fax
- (660) 882-3323
- NPI assigned
- Jul 27, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2002023866 | MO | Primary |
Addresses
Primary practice location
1951 Boone Villa Dr
Boonville, MO 65233-1994
Mailing address
1951 Boone Villa Dr
Boonville, MO 65233-1994
Phone (660) 882-3333
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20031230000495 | MO | Practitioner - Chiropractic | 3971401787 | Practice locations: Boonville, MO |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Logan College of Chiropractic, 1999
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1951 Boone Villa Dr
Boonville, MO 65233-1994
Phone (660) 882-3333
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4976 | CO | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Restoration Health LLC | Chiropractor | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Boonville, MO
- NPI 1477438885
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Sedalia, MO
- NPI 1235102690
-
dba Cole Camp Clinic
- Rural Health Clinic/Center
- Cole Camp, MO
- NPI 1497705313
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1154335289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1951 BOONE VILLA DR",
"city": "BOONVILLE",
"state": "MO",
"postal_code": "652331994",
"telephone_number": "660-882-3333",
"fax_number": "660-882-3323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1951 BOONE VILLA DR",
"city": "BOONVILLE",
"state": "MO",
"postal_code": "652331994",
"telephone_number": "660-882-3333",
"fax_number": "660-882-3323"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMPSON",
"first_name": "MICHAEL",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MO",
"license": "2002023866",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boonville, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.