Organization Active NPI

Dr Kristy Montz-Goble Chiropractor PC

  • Chiropractor
  • Cassville, MO
National Provider Identifier
1386913499
Registry record updated May 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
005095 Issued in MO
Legal business name
DR KRISTY MONTZ-GOBLE CHIROPRACTOR PC
Practice address
16500 State Highway 76
Cassville, MO 65625-4115
Phone
(417) 847-5081
Fax
(417) 847-1911
NPI assigned
Dec 19, 2011
Last updated
May 18, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2016

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

Authorized official

Name
Dr. Kristy Montz-Goble, D.C.NPI 1942354709
Title
Owner/President
Phone
(417) 847-5081

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
Chiropractor 111N00000X 005095 MO Primary

Addresses

Primary practice location

16500 State Highway 76
Cassville, MO 65625-4115

Mailing address

16500 State Highway 76
Cassville, MO 65625-4115
Phone (417) 847-5081

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120309000328 MO Part B Supplier - Clinic/Group Practice 2062671100 Receives reassigned benefits from 1 practitioner
Practice locations: Cassville, MO

National Provider Directory

National Provider Directory

Locations

16500 State Highway 76
Cassville, MO 65625
Phone (417) 847-5081

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1324252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463529600000",
    "number": "1386913499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16500 STATE HIGHWAY 76",
            "city": "CASSVILLE",
            "state": "MO",
            "postal_code": "656254115",
            "telephone_number": "417-847-5081",
            "fax_number": "417-847-1911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16500 STATE HIGHWAY 76",
            "city": "CASSVILLE",
            "state": "MO",
            "postal_code": "656254115",
            "telephone_number": "417-847-5081",
            "fax_number": "417-847-1911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR KRISTY MONTZ-GOBLE CHIROPRACTOR PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-19",
        "last_updated": "2016-05-18",
        "status": "A",
        "authorized_official_last_name": "MONTZ-GOBLE",
        "authorized_official_first_name": "KRISTY",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "417-847-5081",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "005095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cassville, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2016; 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.