Active NPI
Justin Matthew Gregory, DC
- Chiropractor
- Branson, MO
National Provider Identifier
1194388959
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2019012253
- Practice address
- 225 Violyn Dr
Branson, MO 65616-8128 - Phone
- (417) 334-6660
- Fax
- (417) 334-6661
- NPI assigned
- Apr 17, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2019012253 | MO | Primary |
Addresses
Primary practice location
225 Violyn Dr
Branson, MO 65616-8128
Mailing address
14 Wheatmill CT
Saint Charles, MO 63303-4301
Phone (636) 358-8607
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Logan College of Chiropractic, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
225 Violyn Dr
Branson, MO 65616-8128
Phone 4173346660402
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2019012253 | MO | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hawk Ridge Family Chiropractic LLC | Chiropractor | Current | Accepting new patients |
| Healing Arts Center L.L.C. | Chiropractor | Current | Accepting new patients |
| Myocore, LLC | Chiropractor | Past | Accepting new patients |
| Back on Track Eureka, LLC | Chiropractor | Past | Accepting new patients |
Locations
225 Violyn Dr
Branson, MO 65616
Phone (417) 334-6660
6257 Ronald Reagan Dr
Lake St Louis, MO 63367
Phone (636) 442-0607
6251 Ronald Reagan Dr
Lake St Louis, MO 63367
Phone (636) 614-2139
Organizations & group practices 4
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.
-
- Chiropractor
- Warrenton, MO
- NPI 1457660060
-
- Chiropractor
- Eureka, MO
- NPI 1417747783
-
- Chiropractor
- Overland Park, KS
- NPI 1619649944
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668384000000",
"number": "1194388959",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 WHEATMILL CT",
"city": "SAINT CHARLES",
"state": "MO",
"postal_code": "633034301",
"telephone_number": "636-358-8607"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 VIOLYN DR",
"city": "BRANSON",
"state": "MO",
"postal_code": "656168128",
"telephone_number": "417-334-6660",
"fax_number": "417-334-6661"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREGORY",
"first_name": "JUSTIN",
"middle_name": "MATTHEW",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-04-17",
"last_updated": "2022-11-14",
"certification_date": "2022-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MO",
"license": "2019012253",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Branson, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.