Ozark Wellness Practice, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

T103211017 Issued in MO

Legal business name

OZARK WELLNESS PRACTICE, LLC

Practice address

1516 Bridgeschool Rd Ste a
Rolla, MO 65401-8115

Phone

(573) 364-4647

Fax

(573) 364-4575

NPI assigned

Jun 17, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Tim M Rhoads, D.C.NPI 1639369622

Title

Chiropractor

Phone

(573) 364-4647

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tim M. Rhoads, D.C.

  • Chiropractor
  • Rolla, MO
  • NPI 1639369622
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1308268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647302400000",
    "number": "1427343433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1516 BRIDGESCHOOL RD STE A",
            "city": "ROLLA",
            "state": "MO",
            "postal_code": "654018115",
            "telephone_number": "573-364-4647",
            "fax_number": "573-364-4575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1516 BRIDGESCHOOL RD STE A",
            "city": "ROLLA",
            "state": "MO",
            "postal_code": "654018115",
            "telephone_number": "573-364-4647",
            "fax_number": "573-364-4575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OZARK WELLNESS PRACTICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-17",
        "last_updated": "2022-03-15",
        "certification_date": "2022-03-15",
        "status": "A",
        "authorized_official_last_name": "RHOADS",
        "authorized_official_first_name": "TIM",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "573-364-4647",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "T103211017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2022; 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.