Premier Chiropractic & Wellness LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

PREMIER CHIROPRACTIC & WELLNESS LLC

Practice address

2101 Plaza Dr
Harrisonville, MO 64701-1265

Phone

(785) 477-0126

NPI assigned

Sep 17, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Eric Dean Dierksen, DCNPI 1487075800

Title

President

Phone

(785) 477-0126

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.

• Eric Dean Dierksen, D.C.

  • Chiropractor
  • Manhattan, KS
  • NPI 1487075800
  NPD Authorized official

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

{
    "created_epoch": "1726531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726531200000",
    "number": "1275360968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 PLAZA DR",
            "city": "HARRISONVILLE",
            "state": "MO",
            "postal_code": "647011265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 PLAZA DR",
            "city": "HARRISONVILLE",
            "state": "MO",
            "postal_code": "647011265",
            "telephone_number": "785-477-0126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER CHIROPRACTIC & WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-17",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A",
        "authorized_official_last_name": "DIERKSEN",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "785-477-0126",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phoenix Isl
• Physicians Reference Laboratory LLC
• Cassie Lynn Pitts, OT, MOTR, CHT
• Mary T Polensky, LCSW
• Denise Ann Ponds, LPC
• Ileshia C Price
• Richard Christian Price, M.D.
• Anthony Dean Pucket
• Kindell Anne Raffety, PT, DPT, ATC
• Trisha Marie Rains

• Clinic/Center in Harrisonville, MO
• Providers in Harrisonville, MO by specialty
• Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2024; 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.