Organization Active NPI

Family Chiropractic of the 4 States PC

  • Chiropractor
  • Joplin, MO
National Provider Identifier
1285437632
Registry record updated Jul 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
FAMILY CHIROPRACTIC OF THE 4 STATES PC
Practice address
3301 N Range Line Rd
Joplin, MO 64801-9765
Phone
(417) 206-2225
Fax
(417) 206-2227
NPI assigned
Mar 31, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2025

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

Authorized official

Name
Russell Earl McDaniel, DCNPI 1316951338
Title
Owner
Phone
(417) 206-2225

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
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

3301 N Range Line Rd
Joplin, MO 64801-9765

Mailing address

3301 N Range Line Rd
Joplin, MO 64801-9765
Phone (417) 206-2225

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250821000252 MO Part B Supplier - Clinic/Group Practice 3072013499 Receives reassigned benefits from 2 practitioners
Practice locations: Joplin, MO

National Provider Directory

National Provider Directory

Locations

3301 N Range Line Rd
Joplin, MO 64801
Phone (417) 206-2225

3301 N Range Line Rd
#A
Joplin, MO 64801
Phone (417) 206-2060

Practitioners & affiliated clinicians

Practitioners 5

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": "1743379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751500800000",
    "number": "1285437632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 N RANGE LINE RD",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648019765",
            "telephone_number": "417-206-2225",
            "fax_number": "417-206-2227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 N RANGE LINE RD",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648019765",
            "telephone_number": "417-206-2225",
            "fax_number": "417-206-2227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY CHIROPRACTIC OF THE 4 STATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-31",
        "last_updated": "2025-07-03",
        "certification_date": "2025-07-03",
        "status": "A",
        "authorized_official_last_name": "MCDANIEL",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "EARL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "417-206-2225",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Joplin, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2025; 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.