Organization Active NPI

Total Alignment Chiropractic

  • Chiropractor
  • Poplar Bluff, MO
National Provider Identifier
1275992075
Registry record updated Jun 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2016002123 Issued in MO
Legal business name
TOTAL ALIGNMENT CHIROPRACTIC
Practice address
2725 N Westwood Blvd Ste 13
Poplar Bluff, MO 63901-2367
Phone
(573) 776-7246
Fax
(844) 270-7119
NPI assigned
Feb 22, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2016

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

Authorized official

Name
Dr. Kody Berrong, D.C.
Title
Chiropractor
Phone
(573) 776-7246

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2016002123 MO Primary

Addresses

Primary practice location

2725 N Westwood Blvd Ste 13
Poplar Bluff, MO 63901-2367

Mailing address

2725 N Westwood Blvd Ste 13
Poplar Bluff, MO 63901-2367
Phone (573) 776-7246

National Provider Directory

National Provider Directory

Locations

2725 N Westwood Blvd
Ste 13
Poplar Bluff, MO 63901
Phone (573) 776-7246

NPI Registry JSON

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

{
    "created_epoch": "1456099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467158400000",
    "number": "1275992075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2725 N WESTWOOD BLVD STE 13",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639012367",
            "telephone_number": "573-776-7246",
            "fax_number": "844-270-7119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2725 N WESTWOOD BLVD STE 13",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639012367",
            "telephone_number": "573-776-7246",
            "fax_number": "844-270-7119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL ALIGNMENT CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-22",
        "last_updated": "2016-06-29",
        "status": "A",
        "authorized_official_last_name": "BERRONG",
        "authorized_official_first_name": "KODY",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "573-776-7246",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2016002123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poplar Bluff, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2016; 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.