Elite Chiropractic of the Ozarks, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2018000970 Issued in MO

Legal business name

ELITE CHIROPRACTIC OF THE OZARKS, LLC

Practice address

240 W Main St
West Plains, MO 65775-2726

Phone

(417) 257-2477

NPI assigned

Feb 1, 2018

Last updated

Feb 1, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Johna Wade, DCNPI 1831607118

Title

Owner/ Sole Physician

Phone

(417) 274-4366

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Johna Lee Wade, DC

  • Chiropractor
  • West Plains, MO
  • NPI 1831607118
  NPD (past) Authorized official

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

{
    "created_epoch": "1517443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517443200000",
    "number": "1376041665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 485",
            "city": "BRANDSVILLE",
            "state": "MO",
            "postal_code": "656880485",
            "telephone_number": "417-257-2477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 W MAIN ST",
            "city": "WEST PLAINS",
            "state": "MO",
            "postal_code": "657752726",
            "telephone_number": "417-257-2477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE CHIROPRACTIC OF THE OZARKS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-01",
        "last_updated": "2018-02-01",
        "status": "A",
        "authorized_official_last_name": "WADE",
        "authorized_official_first_name": "JOHNA",
        "authorized_official_title_or_position": "OWNER/ SOLE PHYSICIAN",
        "authorized_official_telephone_number": "417-274-4366",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2018000970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bryan D Eck, M.D.
• Frank C. Eddleman, MD
• Teresa Sue Ehrhart
• Sara Eidson, PT, DPT
• Audrey Clae Eldringhoff, FNP-BC
• Emily Elliott
• Trease P Ellison
• Carolyn Ann Ellsworth, M.D.
• Empower Therapy Services, LLC
• Empowerme Rehabilitation Missouri LLC

• Chiropractor in West Plains, MO
• Providers in West Plains, MO by specialty
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2018; 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.