Oak Grove Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2017033050 Issued in MO

Legal business name

OAK GROVE CHIROPRACTIC LLC

Practice address

705 S Broadway
Oak Grove, MO 64075-8102

Phone

(816) 625-1598

Fax

(816) 625-1599

NPI assigned

Jul 31, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Jessica Lynn Vanderklei, DCNPI 1164941852

Title

Co-Owner/ Practicing Doctor

Phone

(816) 625-1598

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jessica Lynn Vanderklei, DC

  • Chiropractor
  • Oak Grove, MO
  • NPI 1164941852
  Medicare reassignment Care Compare group NPD Authorized official
• Kade David Kanelakos, DC

  • Chiropractor
  • Overland Park, KS
  • NPI 1720676398

  MO

  Medicare reassignment Care Compare group NPD
• Kurtis Mlinar, DC

  • Chiropractor
  • Oak Grove, MO
  • NPI 1811584378
  NPD

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

{
    "created_epoch": "1532995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544400000000",
    "number": "1609354844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 S BROADWAY",
            "city": "OAK GROVE",
            "state": "MO",
            "postal_code": "640758102",
            "telephone_number": "816-625-1598",
            "fax_number": "816-625-1599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 S BROADWAY",
            "city": "OAK GROVE",
            "state": "MO",
            "postal_code": "640758102",
            "telephone_number": "816-625-1598",
            "fax_number": "816-625-1599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAK GROVE CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-31",
        "last_updated": "2018-12-10",
        "status": "A",
        "authorized_official_last_name": "VANDERKLEI",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "CO-OWNER/ PRACTICING DOCTOR",
        "authorized_official_telephone_number": "816-625-1598",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2017033050",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI DESIGNATED BY NPPES",
            "identifier": "1164941852",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William Patrick Monroe, DC
• N & R of Oak Grove, LLC
• Cheryl Ann Needham-Rives, SLP
• Rachel Kathleen Newman
• Brandon Notz
• Oak Grove R-6 School Distr
• Staci Nicole Osgood, DDS
• Patriot Rehabilitation, LLC
• R W Consultant
• Red Cross Pharmacy, Inc.

• Chiropractor in Oak Grove, MO
• Providers in Oak Grove, MO by specialty
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2018; 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.