Organization Active NPI

Columbia Chiropractic Group LLC

  • Chiropractor
  • Columbia, MO
National Provider Identifier
1386196103
Registry record updated Oct 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2016000180 Issued in MO
Legal business name
COLUMBIA CHIROPRACTIC GROUP LLC
Practice address
3302 W Broadway Business Park CT
Suite D
Columbia, MO 65203-0169
Phone
(573) 397-5980
Fax
(583) 234-4148
NPI assigned
Oct 27, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2016

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

Authorized official

Name
Dr. Brittany L Overman, DC
Title
Owner
Phone
(573) 397-5980

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2016000180 MO Primary

Addresses

Primary practice location

3302 W Broadway Business Park CT
Suite D
Columbia, MO 65203-0169

Mailing address

3302 W Broadway Business Park CT
Suite D
Columbia, MO 65203-0169
Phone (573) 397-5980

National Provider Directory

National Provider Directory

Locations

3302 W Broadway Business Park Ct
Ste D
Columbia, MO 65203
Phone (573) 397-5980

NPI Registry JSON

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

{
    "created_epoch": "1477526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477526400000",
    "number": "1386196103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3302 W BROADWAY BUSINESS PARK CT",
            "address_2": "SUITE D",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652030169",
            "telephone_number": "573-397-5980",
            "fax_number": "583-234-4148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3302 W BROADWAY BUSINESS PARK CT",
            "address_2": "SUITE D",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652030169",
            "telephone_number": "573-397-5980",
            "fax_number": "583-234-4148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBIA CHIROPRACTIC GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-27",
        "last_updated": "2016-10-27",
        "status": "A",
        "authorized_official_last_name": "OVERMAN",
        "authorized_official_first_name": "BRITTANY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "573-397-5980",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2016000180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2016; 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.