Active NPI
Eric Robert Poehlein, D.C.
- Chiropractor
- Columbia, MO
National Provider Identifier
1487978664
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2010008817
- Practice address
- 30 E Southampton Dr
105
Columbia, MO 65203-6135 - Phone
- (573) 808-3101
- Fax
- (573) 777-4865
- NPI assigned
- Mar 17, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2010008817 | MO | Primary |
Addresses
Primary practice location
30 E Southampton Dr
105
Columbia, MO 65203-6135
Mailing address
30 E Southampton Dr
105
Columbia, MO 65203-6135
Phone (573) 808-3101
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2010008817 | MO | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268784000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300233600000",
"number": "1487978664",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 E SOUTHAMPTON DR",
"address_2": "105",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652036135",
"telephone_number": "573-808-3101",
"fax_number": "573-777-4865"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 E SOUTHAMPTON DR",
"address_2": "105",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652036135",
"telephone_number": "573-808-3101",
"fax_number": "573-777-4865"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POEHLEIN",
"first_name": "ERIC",
"middle_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-03-17",
"last_updated": "2011-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MO",
"license": "2010008817",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbia, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.