NPIMap

Organization Active NPI

Long Chiropractic Inc

  • Clinic/Center
  • Farmington, MO
National Provider Identifier
1528288693
Registry record updated Aug 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
5812 Issued in MO
Legal business name
LONG CHIROPRACTIC INC
Practice address
307 E Karsch Blvd
Ste E
Farmington, MO 63640-1768
Phone
(573) 760-1515
Fax
(573) 760-0817
NPI assigned
Apr 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2011

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

Authorized official

Name
Dr. Lisa Renee Long, DC
Title
Doctor of Chiropractic
Phone
(573) 760-1515

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 5812 MO Primary

Addresses

Primary practice location

307 E Karsch Blvd
Ste E
Farmington, MO 63640-1768

Mailing address

307 East Karsch Blvd
Ste E
Farmington, MO 63640-1203
Phone (573) 760-1515

Other identifiers 3

IdentifierTypeStateIssuer
105957OtherMOBCBS OF MO
10410T002OtherMOCOVENTRY HEALTH
T2448OtherMOMERCY HEALTH PLANS

National Provider Directory

National Provider Directory

Locations

307 E Karsch Blvd
Farmington, MO 63640
Phone (573) 760-1515

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1177891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313020800000",
    "number": "1528288693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 EAST KARSCH BLVD",
            "address_2": "STE E",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636401203",
            "telephone_number": "573-760-1515",
            "fax_number": "573-760-0817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 E KARSCH BLVD",
            "address_2": "STE E",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636401768",
            "telephone_number": "573-760-1515",
            "fax_number": "573-760-0817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-30",
        "last_updated": "2011-08-11",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "573-760-1515",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MO",
            "license": "5812",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MO",
            "identifier": "105957",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COVENTRY HEALTH",
            "identifier": "10410T002",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MERCY HEALTH PLANS",
            "identifier": "T2448",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.