Active NPI
Hill Chiropractic P.C.
- Chiropractor
- Sullivan, MO
National Provider Identifier
1245352780
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CE006261
- Legal business name
- HILL CHIROPRACTIC P.C.
- Practice address
- 556 Walmart Dr
Sullivan, MO 63080-3326 - Phone
- (573) 860-4455
- Fax
- (573) 860-4456
- NPI assigned
- Apr 4, 2007
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. William Lee Hill, D.C.
- Title
- Owener
- Phone
- (573) 860-4455
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CE006261 | MO | Primary |
Addresses
Primary practice location
556 Walmart Dr
Sullivan, MO 63080-3326
Mailing address
556 Walmart Dr
Sullivan, MO 63080-3326
Phone (573) 860-4455
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CE006261 | Other | MO | STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
556 Walmart Dr
Sullivan, MO 63080
Phone (573) 860-4455
Practitioners & affiliated clinicians
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.
-
- Chiropractor
- Sullivan, MO
- NPI 1588636955
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175644800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1245352780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "556 WALMART DR",
"city": "SULLIVAN",
"state": "MO",
"postal_code": "630803326",
"telephone_number": "573-860-4455",
"fax_number": "573-860-4456"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "556 WALMART DR",
"city": "SULLIVAN",
"state": "MO",
"postal_code": "630803326",
"telephone_number": "573-860-4455",
"fax_number": "573-860-4456"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HILL CHIROPRACTIC P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-04",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "HILL",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "LEE",
"authorized_official_title_or_position": "OWENER",
"authorized_official_telephone_number": "573-860-4455",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MO",
"license": "CE006261",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "CE006261",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sullivan, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.