Organization Active NPI

Lightner Chiropractic LLC

  • Chiropractor
  • Fulton, MO
National Provider Identifier
1386884278
Registry record updated Mar 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2009002328 Issued in MO
Legal business name
LIGHTNER CHIROPRACTIC LLC
Practice address
307 Meadowlark LN
Fulton, MO 65251-2457
Phone
(573) 642-4387
NPI assigned
Mar 4, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2009

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

Authorized official

Name
Amy Kathlene Lightner, DC
Title
Owner
Phone
(573) 642-4387

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2009002328 MO Primary

Addresses

Primary practice location

307 Meadowlark LN
Fulton, MO 65251-2457

Mailing address

307 Meadowlark LN
Fulton, MO 65251-2457

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090408000412 MO Part B Supplier - Clinic/Group Practice 8224185202 Receives reassigned benefits from 1 practitioner
Practice locations: Fulton, MO

National Provider Directory

National Provider Directory

Locations

308 Meadowlark Ln
Fulton, MO 65251
Phone (573) 592-0007

Practitioners & affiliated clinicians

Practitioners 2

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": "1236124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236124800000",
    "number": "1386884278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 MEADOWLARK LN",
            "city": "FULTON",
            "state": "MO",
            "postal_code": "652512457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 MEADOWLARK LN",
            "city": "FULTON",
            "state": "MO",
            "postal_code": "652512457",
            "telephone_number": "573-642-4387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHTNER CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-04",
        "last_updated": "2009-03-04",
        "status": "A",
        "authorized_official_last_name": "LIGHTNER",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "KATHLENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "573-642-4387",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2009002328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fulton, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2009; 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.