Organization Active NPI

Align Chiropractic Clinic LLC

  • Clinic/Center
  • Jefferson City, MO
National Provider Identifier
1366865263
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
ALIGN CHIROPRACTIC CLINIC LLC
Practice address
1002 Diamond RDG
Suite 200
Jefferson City, MO 65109-6896
Phone
(573) 635-4827
Fax
(573) 635-4361
NPI assigned
Jan 28, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Brandon Keith Johns, D.C.NPI 1578986477
Title
Owner
Phone
(870) 489-5159

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
Clinic/Center 261Q00000X MO Primary

Addresses

Primary practice location

1002 Diamond RDG
Suite 200
Jefferson City, MO 65109-6896

Mailing address

1002 Diamond RDG
Suite 200
Jefferson City, MO 65109-6896
Phone (573) 635-4827

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140508001288 MO Part B Supplier - Clinic/Group Practice 5395978704 Receives reassigned benefits from 6 practitioners
Practice locations: Jefferson City, MO

National Provider Directory

National Provider Directory

Locations

1739 E Elm St
Align Chiropractic Clinic E LLC
Jefferson City, MO 65101

1739 E Elm St
Align Chiro E LLC
Jefferson City, MO 65101
Phone (573) 635-4747

1739 E Elm St
Align Chiropractic Clinic E LLC
Jefferson City, MO 65101
Phone (573) 635-4747

3237 W Truman Blvd
Ste 100
Jefferson Cty, MO 65109
Phone (573) 635-0062

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": "1390867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1366865263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 DIAMOND RDG",
            "address_2": "SUITE 200",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651096896",
            "telephone_number": "573-635-4827",
            "fax_number": "573-635-4361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 DIAMOND RDG",
            "address_2": "SUITE 200",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651096896",
            "telephone_number": "573-635-4827",
            "fax_number": "573-635-4361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALIGN CHIROPRACTIC CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-28",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "JOHNS",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-489-5159",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jefferson City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.