Individual provider Active NPI

Christopher Max Orris, D.C.

  • Chiropractor
  • Pacific, MO
National Provider Identifier
1174062111
Registry record updated Feb 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2016015116 Issued in MO
Practice address
409 W Osage St
Pacific, MO 63069-1332
Phone
(636) 549-9004
Fax
(636) 549-9008
NPI assigned
Feb 22, 2017
Last updated
Feb 18, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2016015116 MO Primary

Addresses

Primary practice location

409 W Osage St
Pacific, MO 63069-1332

Mailing address

409 W Osage St
Pacific, MO 63069-1332
Phone (636) 271-2960

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210302000343 MO Practitioner - Chiropractic 9032525993 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

409 W Osage St
Pacific, MO 63069-1332

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Agape Family Chiropractic LLC Chiropractor CurrentSince Feb 1, 2021 Accepting new patients

Locations

300 W 4th St
Ste C
Eureka, MO 63025
Phone (636) 938-3100

409 W Osage St
Pacific, MO 63069
Phone (636) 271-2960

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19027/brand/1/csg/1/fhir/r4

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.

NPI Registry JSON

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

{
    "created_epoch": "1487721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613606400000",
    "number": "1174062111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 W OSAGE ST",
            "city": "PACIFIC",
            "state": "MO",
            "postal_code": "630691332",
            "telephone_number": "636-271-2960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 W OSAGE ST",
            "city": "PACIFIC",
            "state": "MO",
            "postal_code": "630691332",
            "telephone_number": "636-549-9004",
            "fax_number": "636-549-9008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORRIS",
        "first_name": "CHRISTOPHER",
        "middle_name": "MAX",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-02-22",
        "last_updated": "2021-02-18",
        "certification_date": "2021-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2016015116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pacific, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2021; 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.

Verify at the official NPI Registry.