Shoal Creek Valley Chiropractic PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2005026319 Issued in MO

Legal business name

SHOAL CREEK VALLEY CHIROPRACTIC PC

Practice address

810 E Main St
Richmond, MO 64085-1908

Phone

(816) 776-3302

NPI assigned

Aug 26, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Sean Dunivent, D.C.

Title

Chiropractor

Phone

(816) 776-3302

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1282780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288051200000",
    "number": "1588970669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 E MAIN ST",
            "city": "RICHMOND",
            "state": "MO",
            "postal_code": "640851908",
            "telephone_number": "816-776-3302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 E MAIN ST",
            "city": "RICHMOND",
            "state": "MO",
            "postal_code": "640851908",
            "telephone_number": "816-776-3302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHOAL CREEK VALLEY CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-26",
        "last_updated": "2010-10-26",
        "status": "A",
        "authorized_official_last_name": "DUNIVENT",
        "authorized_official_first_name": "SEAN",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "816-776-3302",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2005026319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2010; 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.