Lockhart Chiropractic, Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5819 Issued in MO

Legal business name

LOCKHART CHIROPRACTIC, INC.

Practice address

754 S Odell Ave
Marshall, MO 65340-2504

Phone

(660) 886-7134

Fax

(660) 886-7135

NPI assigned

Feb 2, 2007

Organization subpart

No

Name

Mark A Lockhart, DCNPI 1659381390

Title

Doctor of Chiropractic

Phone

(660) 815-0448

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

• Mark Alvin Lockhart, DC

  • Chiropractor
  • Saint Charles, MO
  • NPI 1659381390
  NPD Authorized official
• Remington Siebert, D.C.

  • Chiropractor
  • Marshall, MO
  • NPI 1972352961
  NPD

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 23, 2024.

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729641600000",
    "number": "1467590331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 792",
            "address_2": "754 S ODELL",
            "city": "MARSHALL",
            "state": "MO",
            "postal_code": "653400792",
            "telephone_number": "660-886-7134",
            "fax_number": "660-886-7135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "754 S ODELL AVE",
            "city": "MARSHALL",
            "state": "MO",
            "postal_code": "653402504",
            "telephone_number": "660-886-7134",
            "fax_number": "660-886-7135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOCKHART CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-02",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A",
        "authorized_official_last_name": "LOCKHART",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "660-815-0448",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "5819",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "16493023",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00307602",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "227259",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "830065090",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500077364",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• All providers in Marshall, MO
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 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.