Chiropractic Pain Center

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

006774 Issued in MO

Legal business name

CHIROPRACTIC PAIN CENTER

Practice address

10901 Tom Watson Pkwy
Parkville, MO 64152-3991

Phone

(816) 741-4104

Fax

(816) 741-4515

NPI assigned

Oct 13, 2014

Last updated

Oct 13, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dimitrios Theoharidis, D.C.

Title

President

Phone

(816) 741-4104

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1413158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413158400000",
    "number": "1316341928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10901 TOM WATSON PKWY",
            "city": "PARKVILLE",
            "state": "MO",
            "postal_code": "641523991",
            "telephone_number": "816-741-4104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10901 TOM WATSON PKWY",
            "city": "PARKVILLE",
            "state": "MO",
            "postal_code": "641523991",
            "telephone_number": "816-741-4104",
            "fax_number": "816-741-4515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC PAIN CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-13",
        "last_updated": "2014-10-13",
        "status": "A",
        "authorized_official_last_name": "THEOHARIDIS",
        "authorized_official_first_name": "DIMITRIOS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "816-741-4104",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "006774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Carlson, PLPC
• Amy Lou Carlson, NCC, LPC, CSATP
• Tracy Leigh Carter, LMFT, LPC
• Mai Chau, R.PH.
• Kara Chavez
• Kyle Austin Christopher, DPT, PT
• Desda Clark, M.A., LPC
• Tara Clark
• Joel Clarke, DO
• Katherine Cloud, PLPC

• Chiropractor in Parkville, MO
• Providers in Parkville, MO by specialty
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2014; 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.