Timothy S. Ellefson D.C.,P.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

005765 Issued in MO

Legal business name

TIMOTHY S. ELLEFSON D.C.,P.C.

Doing business as

Union Chiropractic Center

Practice address

66 Kennedy St
Union, MO 63084-2011

Phone

(636) 583-2675

Fax

(636) 583-2675

NPI assigned

Nov 21, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Timothy Scott Ellefson, D.C.

Title

Owner

Phone

(636) 583-2675

Specialties & licenses 1

Addresses

Other names 1

• Union Chiropractic Center Doing business as

Locations

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

{
    "created_epoch": "1321833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321833600000",
    "number": "1508133455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 KENNEDY ST",
            "city": "UNION",
            "state": "MO",
            "postal_code": "630842011",
            "telephone_number": "636-583-2675",
            "fax_number": "636-583-2675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 KENNEDY ST",
            "city": "UNION",
            "state": "MO",
            "postal_code": "630842011",
            "telephone_number": "636-583-2675",
            "fax_number": "636-583-2675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMOTHY S. ELLEFSON D.C.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-21",
        "last_updated": "2011-11-21",
        "status": "A",
        "authorized_official_last_name": "ELLEFSON",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "636-583-2675",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "005765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Union Chiropractic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Emily Danielle Thoenen
• Andrea Don Thomas
• Denise Lynn Thompson, LPC
• Jessica N Tipton, LMSW
• Darrion Johnnell Tobias, LPC
• Leslie Tomlin
• Jacob Austin Travis, OD
• Ashley D Tucker, LPN

• Chiropractor in Union, MO
• Providers in Union, MO by specialty
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 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.

Verify at the official NPI Registry.