Morganics, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2017018593 Issued in MO

Legal business name

MORGANICS, LLC

Doing business as

ProActive Chiropractic & Rehab

Practice address

213 Creekside Office Dr
Wentzville, MO 63385-3290

Phone

(636) 614-4600

Fax

(844) 892-4533

NPI assigned

Jul 27, 2018

Last updated

Jul 27, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Paul Gregory Lyell, DCNPI 1518068337

Title

President

Phone

(209) 658-9995

Specialties & licenses 1

Addresses

Other names 1

• ProActive Chiropractic & Rehab Doing business as

Locations

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.

• Paul G. Lyell, D.C.

  • Chiropractor
  • Jacksonville, IL
  • NPI 1518068337
  NPD (past) Authorized official

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

{
    "created_epoch": "1532649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532649600000",
    "number": "1508343914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 ROBINSON RD",
            "city": "TROY",
            "state": "MO",
            "postal_code": "633795109",
            "telephone_number": "209-658-9995",
            "fax_number": "844-892-4533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 CREEKSIDE OFFICE DR",
            "city": "WENTZVILLE",
            "state": "MO",
            "postal_code": "633853290",
            "telephone_number": "636-614-4600",
            "fax_number": "844-892-4533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORGANICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-27",
        "last_updated": "2018-07-27",
        "status": "A",
        "authorized_official_last_name": "LYELL",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "GREGORY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "209-658-9995",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2017018593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ProActive Chiropractic & Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elaine Susan Moore, RDH
• Jason Wade Moore, PLPC
• Tiffany Annette Moore, MA
• Brady Moran, OTD
• Summer Lacole Morefield
• Jenna M Morrison, PLPC
• Lindsay Mosley
• Cynthia L Mueller, PHD
• Anoucha Kivuila Mukoko, PMHNP-BC
• Angela Murchinson

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2018; 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.