NPIMap

Organization Active NPI

Advanced Chiropractic and Nutrition, LLC

  • Chiropractor
  • Eureka, MO
National Provider Identifier
1487890968
Registry record updated Jun 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CE005209 Issued in MO
Legal business name
ADVANCED CHIROPRACTIC AND NUTRITION, LLC
Practice address
54 The Legends Pkwy
Suite 154
Eureka, MO 63025-3803
Phone
(636) 938-1010
Fax
(636) 938-1011
NPI assigned
Jan 5, 2009
Last updated
Jun 9, 2014By the provider in NPPES
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. Geralda F Hancock, D.C.NPI 1659343721
Title
Dr. of Chiropractic/Owner
Phone
(636) 938-1010

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CE005209 MO Primary

Addresses

Primary practice location

54 The Legends Pkwy
Suite 154
Eureka, MO 63025-3803

Mailing address

54 The Legends Pkwy
Suite 154
Eureka, MO 63025-3803
Phone (636) 938-1010

National Provider Directory

National Provider Directory

Locations

54 The Legends Pkwy
Ste 154
Eureka, MO 63025
Phone (636) 938-1010

54 The Legends Pkwy
Ste 158
Eureka, MO 63025
Phone (636) 938-1010

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": "1231113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402272000000",
    "number": "1487890968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 THE LEGENDS PKWY",
            "address_2": "SUITE 154",
            "city": "EUREKA",
            "state": "MO",
            "postal_code": "630253803",
            "telephone_number": "636-938-1010",
            "fax_number": "636-938-1011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 THE LEGENDS PKWY",
            "address_2": "SUITE 154",
            "city": "EUREKA",
            "state": "MO",
            "postal_code": "630253803",
            "telephone_number": "636-938-1010",
            "fax_number": "636-938-1011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED CHIROPRACTIC AND NUTRITION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-05",
        "last_updated": "2014-06-09",
        "status": "A",
        "authorized_official_last_name": "HANCOCK",
        "authorized_official_first_name": "GERALDA",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "DR. OF  CHIROPRACTIC/OWNER",
        "authorized_official_telephone_number": "636-938-1010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "CE005209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eureka, 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.