Organization Active NPI

Hill Chiropractic P.C.

  • Chiropractor
  • Sullivan, MO
National Provider Identifier
1245352780
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CE006261 Issued in MO
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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.NPI 1588636955
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
CE006261OtherMOSTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100610000237 MO Part B Supplier - Clinic/Group Practice 8325178841 Receives reassigned benefits from 1 practitioner
Practice locations: Sullivan, MO

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.