Clarksville Chiropractic Center, PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

006761 Issued in MO

Legal business name

CLARKSVILLE CHIROPRACTIC CENTER, PC

Doing business as

Chiropractic Health Center

Practice address

122 S 3Rd St
Louisiana, MO 63353-2060

Phone

(573) 754-5005

NPI assigned

Jan 12, 2009

Last updated

Oct 9, 2012By 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. Eric Gearing, DCNPI 1972587574

Title

Owner

Phone

(573) 754-5005

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Chiropractic Health Center Doing business as

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Locations

Practitioners 2

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.

• Eric Todd Gearing, D.C.

  • Chiropractor
  • Louisiana, MO
  • NPI 1972587574
  Medicare reassignment NPD Authorized official
• Tara Dickherber, LPC

  • Counselor
  • Louisiana, MO
  • NPI 1083704852
  NPD (past)

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

{
    "created_epoch": "1231718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349740800000",
    "number": "1538306642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 S 3RD ST",
            "city": "LOUISIANA",
            "state": "MO",
            "postal_code": "633532060",
            "telephone_number": "573-754-5005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 S 3RD ST",
            "city": "LOUISIANA",
            "state": "MO",
            "postal_code": "633532060",
            "telephone_number": "573-754-5005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARKSVILLE CHIROPRACTIC CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-12",
        "last_updated": "2012-10-09",
        "status": "A",
        "authorized_official_last_name": "GEARING",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "573-754-5005",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2001022068",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "006761",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1972587574",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1083704852",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chiropractic Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Boncl School Dist R-10 (Boncl R-X School District)
• Ashley Helm Branstetter, M.A., CCC-SLP
• Austin Arness Brown, P.T., D.P.T.
• Kaitlyn Rose Burnett
• Jennifer Leigh Chandler, APRN, FNP-BC
• Community Care Center of Louisiana, Inc (Maple Grove Lodge)
• Patrick Joseph Cuppy
• DBB Pharmacies, Inc (Best Buy Pharmacy of Louisiana)
• Tara Dickherber, LPC
• Michelle Drakesmith

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.