Individual provider Active NPI

Angela Imgarten, D.C.

  • Chiropractor
  • Carrollton, MO
National Provider Identifier
1194278077
Registry record updated Aug 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2016014934 Issued in MO
Practice address
1300 N US Highway 65
Carrollton, MO 64633-1975
Phone
(660) 542-2441
NPI assigned
Jul 27, 2016
Last updated
Aug 11, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2016014934 MO Primary

Addresses

Primary practice location

1300 N US Highway 65
Carrollton, MO 64633-1975

Mailing address

1300 N US Highway 65
Carrollton, MO 64633-1975
Phone (660) 542-2441

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161220001761 MO Practitioner - Chiropractic 1850672437 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carrollton Chiropractic Clinic LLCGroup PAC ID 1850788407, 2 clinicians

Practice addresses (Care Compare)

1300 N US Hwy 65
Suite Aandb
Carrollton, MO 64633-1975
Phone (660) 542-2441

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Carrollton Chiropractic Clinic, LLC Chiropractor CurrentSince Jun 1, 2022 Accepting new patients

Locations

1300 N US Highway 65
Ste Ab
Carrollton, MO 64633
Phone (660) 542-2441

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": "1469577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660176000000",
    "number": "1194278077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 N US HIGHWAY 65",
            "city": "CARROLLTON",
            "state": "MO",
            "postal_code": "646331975",
            "telephone_number": "660-542-2441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 N US HIGHWAY 65",
            "city": "CARROLLTON",
            "state": "MO",
            "postal_code": "646331975",
            "telephone_number": "660-542-2441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IMGARTEN",
        "first_name": "ANGELA",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-27",
        "last_updated": "2022-08-11",
        "certification_date": "2022-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2016014934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2022; 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.