The Family Chiropractor, LLC
Organization Active NPI Chiropractor · Mansfield, MO
NPI 1457067266 · NPPES record last updated Mar 6, 2023
Key facts
- NPI
- 1457067266
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- Legal business name
- THE FAMILY CHIROPRACTOR, LLC
- Practice address
- 106 E Park SQ Ste a
Mansfield, MO 65704-8551 - Phone
- (417) 554-2663
- NPI assigned
- Jan 25, 2023
- Organization subpart
- No
Authorized official
- Name
- Andrew Ramos, DC, CACCP
- Title
- Chiropractor, Owner
- Phone
- (417) 554-2663
Practitioners 1
-
Andrew Ramos, DC, CACCP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230509002693 | MO | Part B Supplier - Clinic/Group Practice | 8921464348 |
Receives reassigned benefits from 1 practitioner Practice locations: Mansfield, MO |
National Provider Directory
Locations
106 E Park Sq
Ste A
Mansfield, MO 65704
Phone (417) 554-2663
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | Yes |
Addresses
Primary practice location
106 E Park SQ Ste a
Mansfield, MO 65704-8551
Mailing address
PO Box 483
Mansfield, MO 65704-0483
Phone (417) 554-2663
Other providers in Mansfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 6, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.