NPIMap

Organization Active NPI

Towne Drive Medical Center,L.L.C

  • Chiropractor
  • Columbia, MO
National Provider Identifier
1245354570
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
004102 Issued in MO
Legal business name
TOWNE DRIVE MEDICAL CENTER,L.L.C
Practice address
1621 Towne Dr
Suite C
Columbia, MO 65202-3654
Phone
(573) 474-8800
Fax
(573) 474-8088
NPI assigned
Mar 19, 2007
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. Deborah Ann Blain, CHIROPRACTOR
Title
Owner
Phone
(573) 474-8800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 004102 MO Primary

Addresses

Primary practice location

1621 Towne Dr
Suite C
Columbia, MO 65202-3654

Mailing address

1621 Towne Dr
Suite C
Columbia, MO 65202-3654
Phone (573) 474-8800

National Provider Directory

National Provider Directory

Locations

1621 Towne Dr
#F
Columbia, MO 65202
Phone (573) 474-8999

1301 Vandiver Dr
Ste A
Columbia, MO 65202
Phone (573) 474-8800

1621 Towne Dr
Ste C
Columbia, MO 65202
Phone (573) 474-8800

Practitioners & affiliated clinicians

Practitioners 7

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": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1245354570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1621 TOWNE DR",
            "address_2": "SUITE C",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652023654",
            "telephone_number": "573-474-8800",
            "fax_number": "573-474-8088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1621 TOWNE DR",
            "address_2": "SUITE C",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652023654",
            "telephone_number": "573-474-8800",
            "fax_number": "573-474-8088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWNE DRIVE MEDICAL CENTER,L.L.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BLAIN",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "573-474-8800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "CHIROPRACTOR"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "004102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.