Organization Active NPI

Bushman Chiropractic, LLC

  • Point of Service
  • Ballwin, MO
National Provider Identifier
1598937773
Registry record updated Mar 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
License
2003003215 Issued in MO
Legal business name
BUSHMAN CHIROPRACTIC, LLC
Practice address
14615 Manchester Rd
Ste. 104
Ballwin, MO 63011-3790
Phone
(636) 391-0424
Fax
(636) 391-0437
NPI assigned
Mar 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2008

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

Authorized official

Name
Dr. Susan Lynn Bushman, D.C.
Title
Chiropractor
Phone
(314) 413-7078

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Point of Service 305S00000X 2003003215 MO Primary

Addresses

Primary practice location

14615 Manchester Rd
Ste. 104
Ballwin, MO 63011-3790

Mailing address

14851 Pheasant Hill CT
Chesterfield, MO 63017-5411
Phone (314) 413-7078

National Provider Directory

National Provider Directory

Locations

14615 Manchester Rd
Ste 104
Manchester, MO 63011
Phone (636) 391-0424

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": "1206662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206662400000",
    "number": "1598937773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14851 PHEASANT HILL CT",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630175411",
            "telephone_number": "314-413-7078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14615 MANCHESTER RD",
            "address_2": "STE. 104",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630113790",
            "telephone_number": "636-391-0424",
            "fax_number": "636-391-0437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUSHMAN CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-28",
        "last_updated": "2008-03-28",
        "status": "A",
        "authorized_official_last_name": "BUSHMAN",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "314-413-7078",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "MO",
            "license": "2003003215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ballwin, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2008; 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.