NPIMap

Organization Active NPI

Frack Chiropractic & Wellness Center PC

  • Chiropractor
  • Webb City, MO
National Provider Identifier
1649355140
Registry record updated Oct 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6356 Issued in MO
Legal business name
FRACK CHIROPRACTIC & WELLNESS CENTER PC
Practice address
1506 S. Madison Street
Webb City, MO 64870-2901
Phone
(417) 673-5556
NPI assigned
Oct 25, 2006
Last updated
Oct 2, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2014

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

Authorized official

Name
Dr. Larry Dale Frack, D.C.NPI 1033302682
Title
President
Phone
(417) 673-5556

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 6356 MO Primary

Addresses

Primary practice location

1506 S. Madison Street
Webb City, MO 64870-2901

Mailing address

1506 S. Madison Street
Webb City, MO 64870-2901
Phone (417) 673-5556

National Provider Directory

National Provider Directory

Locations

1400 Waldo Hatler Memorial Dr
Neosho, MO 64850
Phone (417) 455-1025

1506 S Madison St
Webb City, MO 64870
Phone (417) 673-5550

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412208000000",
    "number": "1649355140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1506 S. MADISON STREET",
            "city": "WEBB CITY",
            "state": "MO",
            "postal_code": "648702901",
            "telephone_number": "417-673-5556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1506 S. MADISON STREET",
            "city": "WEBB CITY",
            "state": "MO",
            "postal_code": "648702901",
            "telephone_number": "417-673-5556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRACK CHIROPRACTIC & WELLNESS CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2014-10-02",
        "status": "A",
        "authorized_official_last_name": "FRACK",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "DALE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "417-673-5556",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "6356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Webb City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2014; 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.