NPIMap

Organization Active NPI

Nixas Main Street Chiropractic LLC

  • Chiropractor
  • Nixa, MO
National Provider Identifier
1316192172
Registry record updated Nov 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
004505 Issued in MO
Legal business name
NIXAS MAIN STREET CHIROPRACTIC LLC
Practice address
106 W Sherman Way
Suite 1
Nixa, MO 65714-7620
Phone
(417) 724-9994
Fax
(417) 724-9965
NPI assigned
Nov 20, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2008

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

Authorized official

Name
Dr. Brian Leigh Parker, B,SC,D.C.
Title
Owner
Phone
(417) 724-9994

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 004505 MO Primary

Addresses

Primary practice location

106 W Sherman Way
Suite 1
Nixa, MO 65714-7620

Mailing address

106 W Sherman Way
Suite 1
Nixa, MO 65714-7620
Phone (417) 724-9994

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1227139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227139200000",
    "number": "1316192172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 W SHERMAN WAY",
            "address_2": "SUITE 1",
            "city": "NIXA",
            "state": "MO",
            "postal_code": "657147620",
            "telephone_number": "417-724-9994",
            "fax_number": "417-724-9965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 W SHERMAN WAY",
            "address_2": "SUITE 1",
            "city": "NIXA",
            "state": "MO",
            "postal_code": "657147620",
            "telephone_number": "417-724-9994",
            "fax_number": "417-724-9965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIXAS MAIN STREET CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-20",
        "last_updated": "2008-11-20",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "LEIGH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "417-724-9994",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "B,SC,D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "004505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nixa, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2008; 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.