NPIMap

Organization Active NPI

Potosi Chiropractic Life Center

  • Chiropractor
  • Potosi, MO
National Provider Identifier
1205073665
Registry record updated Jan 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
003606 Issued in MO
Legal business name
POTOSI CHIROPRACTIC LIFE CENTER
Practice address
502 North Missouri St.
Potosi, MO 63664
Phone
(573) 438-5801
Fax
(573) 438-7364
NPI assigned
Jan 7, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2009

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

Authorized official

Name
Dr. Joseph B. Huck, D.C.NPI 1407929847
Title
Owner
Phone
(573) 438-5801

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 003606 MO Primary

Addresses

Primary practice location

502 North Missouri St.
Potosi, MO 63664

Mailing address

502 North Missouri St.
Potosi, MO 63664
Phone (573) 438-5801

National Provider Directory

National Provider Directory

Locations

502 N Missouri St
Potosi, MO 63664
Phone (573) 436-0613

Practitioners & affiliated clinicians

Practitioners 2

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": "1231286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231286400000",
    "number": "1205073665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 NORTH MISSOURI ST.",
            "city": "POTOSI",
            "state": "MO",
            "postal_code": "63664",
            "telephone_number": "573-438-5801",
            "fax_number": "573-438-7364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 NORTH MISSOURI ST.",
            "city": "POTOSI",
            "state": "MO",
            "postal_code": "63664",
            "telephone_number": "573-438-5801",
            "fax_number": "573-438-7364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POTOSI CHIROPRACTIC LIFE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-07",
        "last_updated": "2009-01-07",
        "status": "A",
        "authorized_official_last_name": "HUCK",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "573-438-5801",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "003606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Potosi, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2009; 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.