Christopher J Long, DC – Chiropractor

Key facts

NPI: 1184861072
Entity type: Individual (NPI type 1)
Primary specialty: Chiropractor 111N00000X
License: 2002007704 (MO)
Practice address: 101 Doc Henry Rd
Greenwood, MO 64034-9774
Phone: (816) 537-5995
Fax: (866) 591-2698
NPI assigned: Jan 14, 2009
Sex: Male
Sole proprietor: No

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 and National Provider Directory roles.

Infinite Wellness of Kansas City Internal Medicine Physician · Lees Summit, MO · NPI 1710341110

Medicare reassignment MO

Medicare participation

Medicare fee-for-service enrollment: Enrolled in MO

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20180813001409	MO	Practitioner - Chiropractic	3678848926	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Chiropractor	111N00000X	2002007704	MO	Yes

Addresses

Primary practice location

101 Doc Henry Rd
Greenwood, MO 64034-9774

Mailing address

101 Doc Henry Rd
Greenwood, MO 64034-9774
Phone (816) 537-5995

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 14, 2009.

{
    "created_epoch": "1231891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231891200000",
    "number": "1184861072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 DOC HENRY RD",
            "city": "GREENWOOD",
            "state": "MO",
            "postal_code": "640349774",
            "telephone_number": "816-537-5995",
            "fax_number": "866-591-2698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 DOC HENRY RD",
            "city": "GREENWOOD",
            "state": "MO",
            "postal_code": "640349774",
            "telephone_number": "816-537-5995",
            "fax_number": "866-591-2698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "CHRISTOPHER",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-01-14",
        "last_updated": "2009-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2002007704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood, MO

All providers in Greenwood, MO · Chiropractor in Missouri

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 14, 2009. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider 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.