Organization Active NPI

CCM Properties

Doing business as 417 Spine North

  • Chiropractor
  • Springfield, MO
National Provider Identifier
1467281170
Registry record updated Jul 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
CCM PROPERTIES
Doing business as
417 Spine North
Practice address
2725 N Kansas Expy Ste 104
Springfield, MO 65803-1169
Phone
(417) 720-1250
Fax
(417) 720-1251
NPI assigned
Jul 31, 2024
Last updated
Jul 31, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2024

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

Authorized official

Name
Dr. Charles A Maurer, DCNPI 1316904352
Title
Owner/Practitioner
Phone
(417) 720-1250

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 NU Primary

Addresses

Primary practice location

2725 N Kansas Expy Ste 104
Springfield, MO 65803-1169

Mailing address

2725 N Kansas Expy Ste 104
Springfield, MO 65803-1169
Phone (417) 720-1250

Other names 1

  • 417 Spine North Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1722384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722384000000",
    "number": "1467281170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2725 N KANSAS EXPY STE 104",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658031169",
            "telephone_number": "417-720-1250",
            "fax_number": "417-720-1251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2725 N KANSAS EXPY STE 104",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658031169",
            "telephone_number": "417-720-1250",
            "fax_number": "417-720-1251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CCM PROPERTIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-31",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A",
        "authorized_official_last_name": "MAURER",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/PRACTITIONER",
        "authorized_official_telephone_number": "417-720-1250",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "417 Spine North",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Springfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2024; 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.