Angela Imgarten, D.C.
Individual provider Active NPI Chiropractor · Carrollton, MO
NPI 1194278077 · NPPES record last updated Aug 11, 2022
Key facts
- NPI
- 1194278077
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 2016014934 (MO)
- Practice address
- 1300 N US Highway 65
Carrollton, MO 64633-1975 - Phone
- (660) 542-2441
- NPI assigned
- Jul 27, 2016
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- 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 LLC
Practice addresses (Care Compare)
1300 N US Hwy 65
Suite Aandb
Carrollton, MO 64633-1975
Phone (660) 542-2441
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161220001761 | MO | Practitioner - Chiropractic | 1850672437 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2016014934 | MO | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carrollton Chiropractic Clinic, LLC | Chiropractor | Current |
Accepting new patients |
Locations
1300 N US Highway 65
Ste Ab
Carrollton, MO 64633
Phone (660) 542-2441
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2016014934 | MO | Yes |
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
Other providers in Carrollton, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 11, 2022. 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.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.