Kinnison Chiropractic, LLC

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

Legal business name

KINNISON CHIROPRACTIC, LLC

Practice address

905 Main Plaza Dr
Wentzville, MO 63385-1168

Phone

(636) 856-1260

Fax

(636) 856-1245

NPI assigned

Oct 13, 2020

Last updated

Dec 17, 2020By the provider in NPPES

Organization subpart

Yes

Parent organization

KINNISON CHIROPRACTICAs reported in NPPES

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

Authorized official

Name

Nate Edward KinnisonNPI 1285249581

Title

Dr. Nate Kinnison

Phone

(573) 768-1250

Specialties & licenses 1

Addresses

Other names 1

• Back Pain Center Other name

Part of

Kinnison Chiropractic LLC

Locations

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.

• Nate Edward Kinnison, D.C

  • Rehabilitation Chiropractor
  • Wentzville, MO
  • NPI 1285249581
  NPD Authorized official

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

{
    "created_epoch": "1602547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608163200000",
    "number": "1477151363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2017 EMERALD CREST CT",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630175404",
            "telephone_number": "573-768-1250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 MAIN PLAZA DR",
            "city": "WENTZVILLE",
            "state": "MO",
            "postal_code": "633851168",
            "telephone_number": "636-856-1260",
            "fax_number": "636-856-1245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINNISON CHIROPRACTIC, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KINNISON CHIROPRACTIC",
        "enumeration_date": "2020-10-13",
        "last_updated": "2020-12-17",
        "certification_date": "2020-12-17",
        "status": "A",
        "authorized_official_last_name": "KINNISON",
        "authorized_official_first_name": "NATE",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "DR. NATE KINNISON",
        "authorized_official_telephone_number": "573-768-1250"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Back Pain Center",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Back Pain Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Elizabeth Deanna Kindler, DT
• Huggy Smiles Kindness, LMSW
• Kindnest Home Care,LLC
• Carmen Kinney
• Tori Ann Kinnin, MSN, APRN, AGNP-C
• Nate Edward Kinnison, D.C
• Kayla Kinsey
• Calie Marie Kircher, LMSW
• Miranda Leigh Kirchoff
• Nathaniel Evan Kistner, D.C.

• Rehabilitation Chiropractor in Wentzville, MO
• Providers in Wentzville, MO by specialty
• Rehabilitation Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2020; 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.