Mound City Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2013045579 Issued in MO

Legal business name

MOUND CITY CHIROPRACTIC LLC

Practice address

105 W 6TH St
Mound City, MO 64470-1160

Phone

(660) 442-3105

NPI assigned

Mar 3, 2014

Last updated

Mar 3, 2014By 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

Rachel Sharp, D.C.NPI 1578984027

Title

Owner

Phone

(660) 442-3105

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Locations

Practitioners 1

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.

• Rachel Sharp, D.C.

  • Chiropractor
  • Mound City, MO
  • NPI 1578984027
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1393804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393804800000",
    "number": "1164847935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 W 6TH ST",
            "city": "MOUND CITY",
            "state": "MO",
            "postal_code": "644701160",
            "telephone_number": "660-442-3105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 W 6TH ST",
            "city": "MOUND CITY",
            "state": "MO",
            "postal_code": "644701160",
            "telephone_number": "660-442-3105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUND CITY CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-03",
        "last_updated": "2014-03-03",
        "status": "A",
        "authorized_official_last_name": "SHARP",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "660-442-3105",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2013045579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Angela Janene McQuinn, COTA/L
• Mound City R-2 School District
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• Danielle Marie Nielson, LMSW
• Northwest Health Services, Inc (Mound City Medical Clinc)
• Elizabeth Renshaw, FNP

• Chiropractor in Mound City, MO
• Providers in Mound City, MO by specialty
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2014; 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.