Image Chiropractic PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2011039597 Issued in MO

Legal business name

IMAGE CHIROPRACTIC PC

Practice address

2709 E Liberty St
Mexico, MO 65265-3556

Phone

(573) 581-2446

Fax

(573) 581-2448

NPI assigned

Feb 27, 2015

Last updated

Feb 12, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Miles Goins, DCNPI 1114196219

Title

President

Phone

(573) 581-2446

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Miles A Goins, D.C.

  • Chiropractor
  • Mexico, MO
  • NPI 1114196219
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1424995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581465600000",
    "number": "1205228244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2709 E LIBERTY ST",
            "city": "MEXICO",
            "state": "MO",
            "postal_code": "652653556",
            "telephone_number": "573-581-2446",
            "fax_number": "573-581-2448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2709 E LIBERTY ST",
            "city": "MEXICO",
            "state": "MO",
            "postal_code": "652653556",
            "telephone_number": "573-581-2446",
            "fax_number": "573-581-2448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMAGE CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-27",
        "last_updated": "2020-02-12",
        "certification_date": "2020-02-12",
        "status": "A",
        "authorized_official_last_name": "GOINS",
        "authorized_official_first_name": "MILES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "573-581-2446",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2011039597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Hoeing, RDN, LD
• Lan-Tu Dang Holem, D.D.S.
• Laura M Hoover, LCSW
• Marlene A Howser, LPC
• Georgetta Jean Hull, LCSW
• International Eyecare Center, Inc
• Christian Jackson, LMSW
• Diane Jean Jacobi, M.D.
• Amir Sahba Jalali, OD
• Nicole Marie James, LCSW

• Chiropractor in Mexico, MO
• Providers in Mexico, MO by specialty
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.