Organization Active NPI

Chiropractic and Spinal Rehab LLC

  • Chiropractor
  • Rolla, MO
National Provider Identifier
1427597632
Registry record updated Feb 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6455 Issued in MO
Legal business name
CHIROPRACTIC AND SPINAL REHAB LLC
Practice address
806A E State Route 72
Rolla, MO 65401-3945
Phone
(573) 364-2798
Fax
(573) 368-4720
NPI assigned
Feb 21, 2017
Last updated
Feb 21, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2017

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

Authorized official

Name
Dr. Aaron A Heitman, DCNPI 1376593152
Title
Owner
Phone
(573) 364-2798

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2017003593 MO
Chiropractor 111N00000X 6455 MO Primary

Addresses

Primary practice location

806A E State Route 72
Rolla, MO 65401-3945

Mailing address

806A E State Route 72
Rolla, MO 65401-3945
Phone (573) 364-2798

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170302000859 MO Part B Supplier - Clinic/Group Practice 4688958044 Receives reassigned benefits from 2 practitioners
Practice locations: Rolla, MO

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1487635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487635200000",
    "number": "1427597632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "806A E STATE ROUTE 72",
            "city": "ROLLA",
            "state": "MO",
            "postal_code": "654013945",
            "telephone_number": "573-364-2798",
            "fax_number": "573-368-4720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "806A E STATE ROUTE 72",
            "city": "ROLLA",
            "state": "MO",
            "postal_code": "654013945",
            "telephone_number": "573-364-2798",
            "fax_number": "573-368-4720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC AND SPINAL REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-21",
        "last_updated": "2017-02-21",
        "status": "A",
        "authorized_official_last_name": "HEITMAN",
        "authorized_official_first_name": "AARON",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "573-364-2798",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2017003593",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "6455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rolla, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2017; 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.