Damon Max Whitaker, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2005035875 Issued in MO

Practice address

2910 Oklahoma Ave
Trenton, MO 64683-3405

Phone

(660) 359-3500

Fax

(660) 359-3511

NPI assigned

Jun 26, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211846400000",
    "number": "1396772323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3309 LAKE TRENTON DR",
            "city": "TRENTON",
            "state": "MO",
            "postal_code": "646833228",
            "telephone_number": "660-359-3500",
            "fax_number": "660-359-3511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2910 OKLAHOMA AVE",
            "city": "TRENTON",
            "state": "MO",
            "postal_code": "646833405",
            "telephone_number": "660-359-3500",
            "fax_number": "660-359-3511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITAKER",
        "first_name": "DAMON",
        "middle_name": "MAX",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-26",
        "last_updated": "2008-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2005035875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madison Lynn Vandyke, LMSW
• Kelli R Walker, RN
• Brandy Wedlock
• Jennifer Westcott, LPN
• Crystal Iola Whitaker, D.C.
• Jerry David Whitaker, D.D.S.
• Tiffany Amber Whorton, APRN, FNP-BC
• Alissa Denise Wiggins, DC
• Danny J Wilford, LPC
• Jane Wilmes, LCSW

• Chiropractor in Trenton, MO
• Providers in Trenton, MO by specialty
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2008; 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.