Pike Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

005651 Issued in MO

Legal business name

PIKE CHIROPRACTIC LLC

Practice address

4075 Osage Beach Parkway
Suite 200
Osage Beach, MO 65065

Phone

(573) 348-4640

Fax

(573) 348-4660

NPI assigned

Jan 5, 2007

Organization subpart

No

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

Authorized official

Name

Charles H Pike, DCNPI 1710166269

Title

Owner

Phone

(573) 348-4640

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Charles H Pike III, DC

  • Chiropractor
  • Osage Beach, MO
  • NPI 1710166269
  Medicare reassignment Care Compare group Authorized official
• Dylan Hymes, DC

  • Chiropractor
  • Osage Beach, MO
  • NPI 1942949607
  Medicare reassignment Care Compare group
• Amy S Pike, DC

  • Chiropractor
  • Osage Beach, MO
  • NPI 1740469196
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741132800000",
    "number": "1164579553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4075 OSAGE BEACH PKWY",
            "address_2": "SUITE 200",
            "city": "OSAGE BEACH",
            "state": "MO",
            "postal_code": "650652153",
            "telephone_number": "573-348-4640",
            "fax_number": "573-348-4660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4075 OSAGE BEACH PARKWAY",
            "address_2": "SUITE 200",
            "city": "OSAGE BEACH",
            "state": "MO",
            "postal_code": "65065",
            "telephone_number": "573-348-4640",
            "fax_number": "573-348-4660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIKE CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-05",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A",
        "authorized_official_last_name": "PIKE",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "573-348-4640",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "005651",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "005653",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Petersen Health Operations, LLC
• Justin Robert Peterson, PHARMD, RPH
• Howard A Peth Jr., M.D.
• Victor M. Phillips, M.D.
• Pike Chiropractic
• Amy S Pike, DC
• Charles H Pike III, DC
• Mikayla Kimberly Pilant
• Natalie Dawn Plemmons
• Amber De Ann Polson, D.C., M.S.

• Chiropractor in Osage Beach, MO
• Providers in Osage Beach, MO by specialty
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.