Organization Active NPI

Pappas Chiropractic PC

  • Chiropractor
  • Festus, MO
National Provider Identifier
1316068380
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1999142633 Issued in MO
Legal business name
PAPPAS CHIROPRACTIC PC
Practice address
414 W Main St
Festus, MO 63028-1844
Phone
(636) 937-6500
Fax
(636) 937-6618
NPI assigned
Apr 3, 2007
Last updated
Aug 22, 2020By the provider in NPPES
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. Anthony Nick Pappas, D.O.NPI 1568522415
Title
VP
Phone
(636) 937-6500

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: 193400000X SINGLE SPECIALTY GROUP 111N00000X 1999142633 MO Primary

Addresses

Primary practice location

414 W Main St
Festus, MO 63028-1844

Mailing address

414 W Main St
Festus, MO 63028-1844
Phone (636) 937-6500

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040217001004 MO Part B Supplier - Clinic/Group Practice 6507751740 Receives reassigned benefits from 1 practitioner
Practice locations: Festus, MO

National Provider Directory

National Provider Directory

Locations

414 W Main St
Festus, MO 63028
Phone (636) 937-6500

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316068380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 W MAIN ST",
            "city": "FESTUS",
            "state": "MO",
            "postal_code": "630281844",
            "telephone_number": "636-937-6500",
            "fax_number": "636-937-6618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 W MAIN ST",
            "city": "FESTUS",
            "state": "MO",
            "postal_code": "630281844",
            "telephone_number": "636-937-6500",
            "fax_number": "636-937-6618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAPPAS CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PAPPAS",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "NICK",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "636-937-6500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "1999142633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Festus, 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.
  • 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.