Organization Active NPI

Walton CS XV Inc

  • Chiropractor
  • Columbia, MO
National Provider Identifier
1609092774
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
WALTON CS XV INC
Practice address
3906 Peachtree Dr
Suite D
Columbia, MO 65203-4925
Phone
(573) 256-6506
NPI assigned
Apr 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Kyle Steven Bowers, D.C.NPI 1700881216
Title
Owner
Phone
(573) 256-6506

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 MO Primary

Addresses

Primary practice location

3906 Peachtree Dr
Suite D
Columbia, MO 65203-4925

Mailing address

3906 Peachtree Dr
Suite D
Columbia, MO 65203-4925
Phone (573) 256-6506

Other names 1

  • Bowers Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050307000053 MO Part B Supplier - Clinic/Group Practice 8224082938 Receives reassigned benefits from 1 practitioner
Practice locations: Columbia, MO

National Provider Directory

National Provider Directory

Locations

3906 Peachtree Dr
Ste D
Columbia, MO 65203
Phone (573) 256-6506

3906 Peachtree Dr
Ste F
Columbia, MO 65203
Phone (573) 256-6506

Practitioners & affiliated clinicians

Practitioners 2

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": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609092774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3906 PEACHTREE DR",
            "address_2": "SUITE D",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652034925",
            "telephone_number": "573-256-6506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3906 PEACHTREE DR",
            "address_2": "SUITE D",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652034925",
            "telephone_number": "573-256-6506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALTON CS XV INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOWERS",
        "authorized_official_first_name": "KYLE",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "573-256-6506",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bowers Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbia, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.