5 Star Chiropractic, LLC

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

License

20070007093 Issued in MO

Legal business name

5 STAR CHIROPRACTIC, LLC

Practice address

1601 E 9TH St
Ste. E
Trenton, MO 64683-2763

Phone

(816) 500-8457

NPI assigned

Apr 6, 2009

Organization subpart

No

Name

Jennifer M Mercer, DCNPI 1922122068

Title

Owner

Phone

(816) 500-8457

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

• Jennifer Maureen Mercer, DC

  • Chiropractor
  • Trenton, MO
  • NPI 1922122068

  MO

  Medicare reassignment NPD Authorized official

Medicare fee-for-service enrollment

Enrolled in MO

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 3, 2010.

{
    "created_epoch": "1238976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272844800000",
    "number": "1477795490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 E 9TH ST",
            "address_2": "STE. E",
            "city": "TRENTON",
            "state": "MO",
            "postal_code": "646832763",
            "telephone_number": "816-500-8457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 E 9TH ST",
            "address_2": "STE. E",
            "city": "TRENTON",
            "state": "MO",
            "postal_code": "646832763",
            "telephone_number": "816-500-8457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "5 STAR CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-06",
        "last_updated": "2010-05-03",
        "status": "A",
        "authorized_official_last_name": "MERCER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "816-500-8457",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "MO",
            "license": "20070007093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jan Lucile Altiser, PMHNP-BC
• Thomas Eugene Bacon, RPH
• Hesamodin Borhani, M.D.
• Danielle Bork, CPM
• Jennifer A. Bowe, MD

• All providers in Trenton, MO
• Exclusive Provider Organization in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.