Active NPI
Maryville Chiropractic, PC
- Chiropractor
- Maryville, MO
National Provider Identifier
1366634818
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 006710
- Legal business name
- MARYVILLE CHIROPRACTIC, PC
- Practice address
- 1626 E 1St St
Maryville, MO 64468-3104 - Phone
- (660) 582-8511
- Fax
- (660) 582-8511
- NPI assigned
- Aug 17, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Douglas H Steiner, DC
- Title
- Ceo
- Phone
- (660) 582-8511
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 006710 | MO | Primary |
Addresses
Primary practice location
1626 E 1St St
Maryville, MO 64468-3104
Mailing address
1626 E 1St St
Maryville, MO 64468-3104
Phone (660) 582-8511
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 82760 | Other | MO | COVENTRY |
| 1730298639 | Other | MO | COMMUNITY HEALTH PLAN |
| 670535 | Other | MO | UNITED HEALTH CARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1626 E 1st St
Maryville, MO 64468
Phone (660) 582-8511
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Maryville, MO
- NPI 1730298639
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187308800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1187308800000",
"number": "1366634818",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1626 E 1ST ST",
"city": "MARYVILLE",
"state": "MO",
"postal_code": "644683104",
"telephone_number": "660-582-8511",
"fax_number": "660-582-8511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1626 E 1ST ST",
"city": "MARYVILLE",
"state": "MO",
"postal_code": "644683104",
"telephone_number": "660-582-8511",
"fax_number": "660-582-8511"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARYVILLE CHIROPRACTIC, PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-17",
"last_updated": "2007-08-17",
"status": "A",
"authorized_official_last_name": "STEINER",
"authorized_official_first_name": "DOUGLAS",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "660-582-8511",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "MO",
"license": "006710",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COVENTRY",
"identifier": "82760",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMUNITY HEALTH PLAN",
"identifier": "1730298639",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "670535",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Maryville, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2007; 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.