Thomas R Whitty DC LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CE004316 Issued in MO

Legal business name

THOMAS R WHITTY DC LLC

Practice address

702 Owens Dr
Lebanon, MO 65536-3501

Phone

(417) 532-5462

Fax

(417) 532-8595

NPI assigned

Jun 16, 2011

Organization subpart

No

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

Authorized official

Name

Susan M Whitty

Title

Office Manager

Phone

(417) 532-5462

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1308182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308182400000",
    "number": "1154616316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 OWENS DR",
            "city": "LEBANON",
            "state": "MO",
            "postal_code": "655363501",
            "telephone_number": "417-532-5462",
            "fax_number": "417-532-8595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 OWENS DR",
            "city": "LEBANON",
            "state": "MO",
            "postal_code": "655363501",
            "telephone_number": "417-532-5462",
            "fax_number": "417-532-8595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS R WHITTY DC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-16",
        "last_updated": "2011-06-16",
        "status": "A",
        "authorized_official_last_name": "WHITTY",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "417-532-5462"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "CE004316",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "752790204",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Roger A. Torgerson, CRNA

• Chiropractor in Lebanon, MO
• Providers in Lebanon, MO by specialty
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2011; 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.