Organization Active NPI

Four Rivers Chiropractic and Acupuncture LLC

  • Chiropractor
  • Washington, MO
National Provider Identifier
1467625392
Registry record updated Jun 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2008001508 Issued in MO
Legal business name
FOUR RIVERS CHIROPRACTIC AND ACUPUNCTURE LLC
Practice address
707 Jefferson St
Washington, MO 63090-2709
Phone
(636) 239-1220
Fax
(636) 239-0331
NPI assigned
Apr 11, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2014

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

Authorized official

Name
Dr. Emily E Spear, D.C.
Title
Owner/Operator
Phone
(636) 239-1220

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2008001508 MO Primary

Addresses

Primary practice location

707 Jefferson St
Washington, MO 63090-2709

Mailing address

707 Jefferson St
Washington, MO 63090-2709
Phone (636) 239-1220

National Provider Directory

National Provider Directory

Locations

6244 Highway 100
Ste 120
Washington, MO 63090
Phone (636) 239-1220

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1207872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402272000000",
    "number": "1467625392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 JEFFERSON ST",
            "city": "WASHINGTON",
            "state": "MO",
            "postal_code": "630902709",
            "telephone_number": "636-239-1220",
            "fax_number": "636-239-0331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 JEFFERSON ST",
            "city": "WASHINGTON",
            "state": "MO",
            "postal_code": "630902709",
            "telephone_number": "636-239-1220",
            "fax_number": "636-239-0331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUR RIVERS CHIROPRACTIC AND ACUPUNCTURE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-11",
        "last_updated": "2014-06-09",
        "status": "A",
        "authorized_official_last_name": "SPEAR",
        "authorized_official_first_name": "EMILY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "636-239-1220",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2008001508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2014; 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.