NPIMap

Organization Active NPI

Semo Chiropractic, LLC

  • Chiropractor
  • Poplar Bluff, MO
National Provider Identifier
1649567199
Registry record updated Aug 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2009012413 Issued in MO
Legal business name
SEMO CHIROPRACTIC, LLC
Practice address
1251 Sterling Dr
Poplar Bluff, MO 63901-3326
Phone
(573) 712-2500
NPI assigned
Jul 6, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2011

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

Authorized official

Name
Dr. Leslie Erin Forrester, D.C.
Title
Owner
Phone
(573) 712-2500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2009012413 MO Primary

Addresses

Primary practice location

1251 Sterling Dr
Poplar Bluff, MO 63901-3326

Mailing address

1251 Sterling Dr
Poplar Bluff, MO 63901-3326
Phone (573) 712-2500

National Provider Directory

National Provider Directory

Locations

1251 Sterling Dr
Poplar Bluff, MO 63901
Phone (573) 712-2500

NPI Registry JSON

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

{
    "created_epoch": "1309910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314057600000",
    "number": "1649567199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1251 STERLING DR",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639013326",
            "telephone_number": "573-712-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1251 STERLING DR",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639013326",
            "telephone_number": "573-712-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEMO CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-06",
        "last_updated": "2011-08-23",
        "status": "A",
        "authorized_official_last_name": "FORRESTER",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_middle_name": "ERIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "573-712-2500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2009012413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poplar Bluff, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2011; 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.