Organization Active NPI

Elizabeth V Hackleman, D.C., P.C.

  • Chiropractor
  • Blue Springs, MO
National Provider Identifier
1508031139
Registry record updated Apr 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
006634 Issued in MO
Legal business name
ELIZABETH V HACKLEMAN, D.C., P.C.
Practice address
801 W Main St
Blue Springs, MO 64015-3707
Phone
(816) 228-5522
Fax
(816) 220-0205
NPI assigned
Apr 24, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2008

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

Authorized official

Name
Dr. Elizabeth Victoria Hackleman, D.C.
Title
Owner/Chiropractor
Phone
(816) 228-5522

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 006634 MO Primary

Addresses

Primary practice location

801 W Main St
Blue Springs, MO 64015-3707

Mailing address

801 W Main St
Blue Springs, MO 64015-3707
Phone (816) 228-5522

Other identifiers 1

IdentifierTypeStateIssuer
1710989694OtherMONPI INDIVIDUAL

Other names 1

  • Hackleman Chiropractic Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1208995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208995200000",
    "number": "1508031139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 W MAIN ST",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640153707",
            "telephone_number": "816-228-5522",
            "fax_number": "816-220-0205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 W MAIN ST",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640153707",
            "telephone_number": "816-228-5522",
            "fax_number": "816-220-0205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIZABETH V HACKLEMAN, D.C., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-24",
        "last_updated": "2008-04-24",
        "status": "A",
        "authorized_official_last_name": "HACKLEMAN",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "VICTORIA",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "816-228-5522",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "006634",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI INDIVIDUAL",
            "identifier": "1710989694",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hackleman Chiropractic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Blue Springs, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2008; 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.