Organization Active NPI

Bischof Chiropractic and Family Health Care

  • Exclusive Provider Organization
  • Pacific, MO
National Provider Identifier
1306003454
Registry record updated May 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
License
2004026180 Issued in MO
Legal business name
BISCHOF CHIROPRACTIC AND FAMILY HEALTH CARE
Practice address
220 N Columbus St
Pacific, MO 63069-1522
Phone
(636) 271-3600
Fax
(636) 257-3151
NPI assigned
May 16, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2008

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

Authorized official

Name
Diann Bischof, D.C.NPI 1700940574
Title
Owner
Phone
(636) 271-3600

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
Exclusive Provider Organization 302F00000X 2004026180 MO Primary

Addresses

Primary practice location

220 N Columbus St
Pacific, MO 63069-1522

Mailing address

220 N Columbus St
Pacific, MO 63069-1522
Phone (636) 271-3600

Other identifiers 1

IdentifierTypeStateIssuer
197367OtherMOANTHEM BLUE CROSS BLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080731000489 MO Part B Supplier - Clinic/Group Practice 1951475425 Receives reassigned benefits from 1 practitioner
Practice locations: Pacific, MO

National Provider Directory

National Provider Directory

Locations

220 N Columbus St
Pacific, MO 63069
Phone (636) 271-3600

Practitioners & affiliated clinicians

Practitioners 2

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": "1210896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210896000000",
    "number": "1306003454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 N COLUMBUS ST",
            "city": "PACIFIC",
            "state": "MO",
            "postal_code": "630691522",
            "telephone_number": "636-271-3600",
            "fax_number": "636-257-3151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 N COLUMBUS ST",
            "city": "PACIFIC",
            "state": "MO",
            "postal_code": "630691522",
            "telephone_number": "636-271-3600",
            "fax_number": "636-257-3151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BISCHOF CHIROPRACTIC AND FAMILY HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-16",
        "last_updated": "2008-05-16",
        "status": "A",
        "authorized_official_last_name": "BISCHOF",
        "authorized_official_first_name": "DIANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "636-271-3600",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "MO",
            "license": "2004026180",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS BLUE SHIELD",
            "identifier": "197367",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pacific, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2008; 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.