Organization Active NPI

John a Dennehy Jr DC PC

  • Chiropractor
  • Hannibal, MO
National Provider Identifier
1356658553
Registry record updated Oct 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
005141 Issued in MO
Legal business name
JOHN A DENNEHY JR DC PC
Practice address
15 Northport PLZ
Hannibal, MO 63401-2269
Phone
(573) 221-2001
Fax
(573) 221-3316
NPI assigned
Sep 9, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2010

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

Authorized official

Name
John A Dennehy Jr., DC
Title
Owner
Phone
(573) 221-2001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 005141 MO Primary

Addresses

Primary practice location

15 Northport PLZ
Hannibal, MO 63401-2269

Mailing address

15 Northport PLZ
Hannibal, MO 63401-2269
Phone (573) 221-2001

Other identifiers 2

IdentifierTypeStateIssuer
1740390871OtherMONPI
5580OtherMOANTHEM

Other names 1

  • Northport Chiropractic Centre Other name

National Provider Directory

National Provider Directory

Locations

15 Northport Plz
Hannibal, MO 63401
Phone (573) 221-2001

NPI Registry JSON

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

{
    "created_epoch": "1283990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287446400000",
    "number": "1356658553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 NORTHPORT PLZ",
            "city": "HANNIBAL",
            "state": "MO",
            "postal_code": "634012269",
            "telephone_number": "573-221-2001",
            "fax_number": "573-221-3316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 NORTHPORT PLZ",
            "city": "HANNIBAL",
            "state": "MO",
            "postal_code": "634012269",
            "telephone_number": "573-221-2001",
            "fax_number": "573-221-3316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN A DENNEHY JR DC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-09",
        "last_updated": "2010-10-19",
        "status": "A",
        "authorized_official_last_name": "DENNEHY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "573-221-2001",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "005141",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1740390871",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "5580",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northport Chiropractic Centre",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Hannibal, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2010; 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.