Organization Active NPI

Ozark Chiropractic Clinic, P.C.

  • Nutrition Chiropractor
  • Columbia, MO
National Provider Identifier
1639317977
Registry record updated Jan 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition ChiropractorTaxonomy code 111NN1001X
License
002607 Issued in MO
Legal business name
OZARK CHIROPRACTIC CLINIC, P.C.
Practice address
1301 Torrey Pines Dr
Columbia, MO 65203-4827
Phone
(573) 443-2761
NPI assigned
Jan 24, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2009

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

Authorized official

Name
Dr. Beverly Jean Miles, D.C.
Title
President
Phone
(573) 443-2761

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NN1001X 002607 MO Primary

Addresses

Primary practice location

1301 Torrey Pines Dr
Columbia, MO 65203-4827

Mailing address

1301 Torrey Pines Dr
Columbia, MO 65203-4827
Phone (573) 443-2761

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1232755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233100800000",
    "number": "1639317977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 TORREY PINES DR",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652034827",
            "telephone_number": "573-443-2761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 TORREY PINES DR",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652034827",
            "telephone_number": "573-443-2761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OZARK CHIROPRACTIC CLINIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-24",
        "last_updated": "2009-01-28",
        "status": "A",
        "authorized_official_last_name": "MILES",
        "authorized_official_first_name": "BEVERLY",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "573-443-2761",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Nutrition",
            "state": "MO",
            "license": "002607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jan 28, 2009; 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.