Organization Active NPI

Charles a Maurer DC PC

Doing business as Family Back and Neck Care Centre

  • Chiropractor
  • Springfield, MO
National Provider Identifier
1336160092
Registry record updated Oct 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
000006508 Issued in MO
Legal business name
CHARLES A MAURER DC PC
Doing business as
Family Back and Neck Care Centre
Practice address
3100 S National Ave Ste 100
Springfield, MO 65807-7347
Phone
(417) 889-2225
Fax
(417) 889-1253
NPI assigned
Jul 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2024

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

Authorized official

Name
Charles A Maurer, D.C. P.C.
Title
Chiropractor
Phone
(417) 889-2225

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 000006508 MO Primary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 2006014817 MO

Addresses

Primary practice location

3100 S National Ave Ste 100
Springfield, MO 65807-7347

Mailing address

3100 S National Ave Ste 100
Springfield, MO 65807-7347
Phone (417) 889-2225

Other identifiers 5

IdentifierTypeStateIssuer
1235166455OtherMOINDIVIDUAL NPI
1316904352OtherMOINDIVIDUAL NPI
18140OtherMOBLUE CROSS BLUE SHIELD
123088OtherMOACA
609614OtherMOACN

Other names 1

  • Family Back and Neck Care Centre Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050912000509 MO Part B Supplier - Clinic/Group Practice 2860425816 Receives reassigned benefits from 1 practitioner
Practice locations: Springfield, MO

National Provider Directory

National Provider Directory

Locations

2055 E Sunshine St
Springfield, MO 65804
Phone (417) 889-2225

2725 N Kansas Expy
Ste 104
Springfield, MO 65803
Phone (417) 689-8797

3100 S National Ave
Ste 100
Springfield, MO 65807
Phone (417) 521-8072

Practitioners & affiliated clinicians

Practitioners 4

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": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728259200000",
    "number": "1336160092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 S NATIONAL AVE STE 100",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658077347",
            "telephone_number": "417-889-2225",
            "fax_number": "417-889-1253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 S NATIONAL AVE STE 100",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658077347",
            "telephone_number": "417-889-2225",
            "fax_number": "417-889-1253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES A MAURER DC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A",
        "authorized_official_last_name": "MAURER",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "417-889-2225",
        "authorized_official_credential": "D.C. P.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "000006508",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2006014817",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1235166455",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1316904352",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "18140",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACA",
            "identifier": "123088",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACN",
            "identifier": "609614",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Back and Neck Care Centre",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Family Back and Neck Care Centre",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Springfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2024; 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.