Powell Chiropractic Clinic

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3551 Issued in MO

Legal business name

POWELL CHIROPRACTIC CLINIC

Practice address

604 S Main St
Rock Port, MO 64482-1448

Phone

(660) 744-2032

Fax

(660) 744-2062

NPI assigned

Jul 13, 2007

Last updated

Jul 13, 2007By 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. Gary Rodger Powell, D.C.

Title

Owner/ Sole Proprietor

Phone

(660) 744-2032

Specialties & licenses 1

Addresses

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.

• Misty Marie Olberding, D.C.

  • Chiropractor
  • Rock Port, MO
  • NPI 1861674491
  NPD (past)

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

{
    "created_epoch": "1184284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184284800000",
    "number": "1225237837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 S MAIN ST # 274",
            "city": "ROCK PORT",
            "state": "MO",
            "postal_code": "644821448",
            "telephone_number": "660-744-2032",
            "fax_number": "660-744-2062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 S MAIN ST",
            "city": "ROCK PORT",
            "state": "MO",
            "postal_code": "644821448",
            "telephone_number": "660-744-2032",
            "fax_number": "660-744-2062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POWELL CHIROPRACTIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-13",
        "last_updated": "2007-07-13",
        "status": "A",
        "authorized_official_last_name": "POWELL",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "RODGER",
        "authorized_official_title_or_position": "OWNER/ SOLE PROPRIETOR",
        "authorized_official_telephone_number": "660-744-2032",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "3551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer L Long-Kelly, LPC
• Janell Ann Moore, LPC, LMHP
• Northwest Missouri Industries, Inc.
• Misty Marie Olberding, D.C.
• Pleasant View Healthcare LLC (Pleasant View)
• Rock Port Wellness & Rehabilitation LLC
• Christopher James Roup, PHARMD
• Tiffany Care Centers, Inc (Pleasant View)
• Watkins Counseling Services
• Sarah R. Watkins, MS, LPC

• Chiropractor in Rock Port, MO
• Providers in Rock Port, MO by specialty
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2007; 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.