Organization Active NPI

Jamie Showers DC, LLC

  • Chiropractor
  • Jefferson City, MO
National Provider Identifier
1568655165
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2006013082 Issued in MO
Legal business name
JAMIE SHOWERS DC, LLC
Practice address
751 W Stadium Blvd
Suite B
Jefferson City, MO 65109-4776
Phone
(573) 635-2225
Fax
(573) 634-5155
NPI assigned
Aug 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Jamie M Showers, DCNPI 1851344147
Title
Chiropractic
Phone
(573) 635-2225

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2006013082 MO Primary

Addresses

Primary practice location

751 W Stadium Blvd
Suite B
Jefferson City, MO 65109-4776

Mailing address

751 W Stadium Blvd
Suite B
Jefferson City, MO 65109-4776
Phone (573) 635-2225

Other identifiers 3

IdentifierTypeStateIssuer
757641OtherMOHEALTHLINK
211085OtherMOBLUE CROSS BLUE SHIELD
699304OtherMOUNITED HEALTH CARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071001000175 MO Part B Supplier - Clinic/Group Practice 0446345847 Receives reassigned benefits from 4 practitioners
Practice locations: Jefferson City, MO

National Provider Directory

National Provider Directory
Tax ID family
Jamie Showers DC LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

915 Southwest Blvd
Ste H
Jefferson Cty, MO 65109
Phone (573) 635-2225

Practitioners & affiliated clinicians

Practitioners 5

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": "1188172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1568655165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "751 W STADIUM BLVD",
            "address_2": "SUITE B",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651094776",
            "telephone_number": "573-635-2225",
            "fax_number": "573-634-5155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 W STADIUM BLVD",
            "address_2": "SUITE B",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651094776",
            "telephone_number": "573-635-2225",
            "fax_number": "573-634-5155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMIE SHOWERS DC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-27",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "SHOWERS",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CHIROPRACTIC",
        "authorized_official_telephone_number": "573-635-2225",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2006013082",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "757641",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "211085",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "699304",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jefferson City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.