Mid-Missouri Clinic of Chiropractic LLC

Primary specialty

Point of ServiceTaxonomy code 305S00000X

License

2008027069 Issued in MO

Legal business name

MID-MISSOURI CLINIC OF CHIROPRACTIC LLC

Practice address

19 East Walnut Street
Suite F
Columbia, MO 65203-4505

Phone

(573) 256-6789

Fax

(573) 443-4821

NPI assigned

Feb 22, 2010

Organization subpart

No

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

Authorized official

Name

Miss Caitlin E Hunnicutt

Title

Office Manager

Phone

(573) 256-6789

Specialties & licenses 1

Addresses

Other names 1

• Mid-Missouri Clinic of Chiropractic Former legal business name

Locations

Practitioners 1

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

• Cristina Stafford, D.C.

  • Chiropractor
  • Columbia, MO
  • NPI 1225466535
  NPD (past)

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

{
    "created_epoch": "1266796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436486400000",
    "number": "1497077101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 EAST WALNUT STREET",
            "address_2": "SUITE F",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652034505",
            "telephone_number": "573-256-6789",
            "fax_number": "573-443-4821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 EAST WALNUT STREET",
            "address_2": "SUITE F",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652034505",
            "telephone_number": "573-256-6789",
            "fax_number": "573-443-4821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-MISSOURI CLINIC OF CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-22",
        "last_updated": "2015-07-10",
        "status": "A",
        "authorized_official_last_name": "HUNNICUTT",
        "authorized_official_first_name": "CAITLIN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "573-256-6789",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "MO",
            "license": "2008027069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mid-Missouri Clinic of Chiropractic",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Point of Service in Columbia, MO
• Providers in Columbia, MO by specialty
• Point of Service in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2015; 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.