Organization Active NPI

Maranatha Health and Wellness Centre, LLC

  • Chiropractor
  • Gainesville, MO
National Provider Identifier
1154860435
Registry record updated Feb 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
MARANATHA HEALTH AND WELLNESS CENTRE, LLC
Practice address
333 Main Street
Gainesville, MO 65655
Phone
(417) 679-0404
NPI assigned
Feb 20, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2017

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

Authorized official

Name
Dr. Janet Martin, D.C.NPI 1033658778
Title
Member
Phone
(417) 679-0404

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X MO Primary

Addresses

Primary practice location

333 Main Street
Gainesville, MO 65655

Mailing address

333 Main Street
Gainesville, MO 65655
Phone (417) 679-0404

National Provider Directory

National Provider Directory

Locations

333 Main St
Gainesville, MO 65655
Phone (417) 679-0404

Practitioners & affiliated clinicians

Practitioners 1

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": "1487548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487548800000",
    "number": "1154860435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 MAIN STREET",
            "city": "GAINESVILLE",
            "state": "MO",
            "postal_code": "65655",
            "telephone_number": "417-679-0404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 MAIN STREET",
            "city": "GAINESVILLE",
            "state": "MO",
            "postal_code": "65655",
            "telephone_number": "417-679-0404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARANATHA HEALTH AND WELLNESS CENTRE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-20",
        "last_updated": "2017-02-20",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "JANET",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "417-679-0404",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2017; 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.