Organization Active NPI

Cavness Chiro Inc.

Doing business as Cavness Chiropractic

  • Chiropractor
  • Kennett, MO
National Provider Identifier
1194981183
Registry record updated Jul 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2004003313 Issued in MO
Legal business name
CAVNESS CHIRO INC.
Doing business as
Cavness Chiropractic
Practice address
1226 Independence Ave
Kennett, MO 63857-1316
Phone
(573) 888-9990
Fax
(573) 888-9993
NPI assigned
Jul 30, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2008

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

Authorized official

Name
Dr. Bradley Scott Cavness, D.C.
Title
Owner
Phone
(573) 888-9990

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2004003313 MO Primary

Addresses

Primary practice location

1226 Independence Ave
Kennett, MO 63857-1316

Mailing address

1226 Independence Ave
Kennett, MO 63857-1316
Phone (573) 888-9990

Other names 1

  • Cavness Chiropractic Doing business as

National Provider Directory

National Provider Directory

Locations

513 Poplar St
Poplar Bluff, MO 63901
Phone (573) 333-1256

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1217376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217376000000",
    "number": "1194981183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1226 INDEPENDENCE AVE",
            "city": "KENNETT",
            "state": "MO",
            "postal_code": "638571316",
            "telephone_number": "573-888-9990",
            "fax_number": "573-888-9993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1226 INDEPENDENCE AVE",
            "city": "KENNETT",
            "state": "MO",
            "postal_code": "638571316",
            "telephone_number": "573-888-9990",
            "fax_number": "573-888-9993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAVNESS CHIRO INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-30",
        "last_updated": "2008-07-30",
        "status": "A",
        "authorized_official_last_name": "CAVNESS",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "573-888-9990",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2004003313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cavness Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kennett, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.