Organization Active NPI

Hillsboro Sports Medicine P.C.

  • Chiropractor
  • Hillsboro, MO
National Provider Identifier
1326235201
Registry record updated Jan 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
006444 Issued in MO
Legal business name
HILLSBORO SPORTS MEDICINE P.C.
Practice address
10655 Business 21
Hillsboro, MO 63050-5094
Phone
(636) 789-2287
NPI assigned
Sep 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2011

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

Authorized official

Name
Dr. Douglas Cordell Wright, DCNPI 1982675732
Title
Chiropractor
Phone
(636) 789-2287

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 006444 MO Primary

Addresses

Primary practice location

10655 Business 21
Hillsboro, MO 63050-5094

Mailing address

10655 Business 21
Hillsboro, MO 63050-5094
Phone (636) 789-2287

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110124000238 MO Part B Supplier - Clinic/Group Practice 9931388931 Receives reassigned benefits from 2 practitioners
Practice locations: Hillsboro, MO

National Provider Directory

National Provider Directory

Locations

10655 Business 21
Hillsboro, MO 63050
Phone (636) 209-7025

Practitioners & affiliated clinicians

Practitioners 8

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": "1190678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295913600000",
    "number": "1326235201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10655 BUSINESS 21",
            "city": "HILLSBORO",
            "state": "MO",
            "postal_code": "630505094",
            "telephone_number": "636-789-2287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10655 BUSINESS 21",
            "city": "HILLSBORO",
            "state": "MO",
            "postal_code": "630505094",
            "telephone_number": "636-789-2287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILLSBORO SPORTS MEDICINE P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-25",
        "last_updated": "2011-01-25",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "CORDELL",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "636-789-2287",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "006444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsboro, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2011; 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.