Active NPI
Hawk Ridge Chiropractic and Acupuncture, L.L.C.
- Chiropractor
- Town and Country, MO
National Provider Identifier
1659526713
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- HAWK RIDGE CHIROPRACTIC AND ACUPUNCTURE, L.L.C.
- Practice address
- 266 Lamp and Lantern VLG
Town and Country, MO 63017-8209 - Phone
- (636) 227-4949
- NPI assigned
- Nov 17, 2008
- Last updated
- Jun 21, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Linda Kay Rodenbaugh, D.C.
- Title
- Sole Member
- Phone
- (636) 346-7861
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | NU | Primary | |
| Acupuncturist | 171100000X | NU | ||
| Pediatric Chiropractor | 111NP0017X | NU |
Addresses
Primary practice location
266 Lamp and Lantern VLG
Town and Country, MO 63017-8209
Mailing address
39 A Pretoria Drive
Ellisville, MO 63021
Phone (636) 346-7861
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578650537 | Other | MO | NPI |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226880000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1529539200000",
"number": "1659526713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "39 A PRETORIA DRIVE",
"city": "ELLISVILLE",
"state": "MO",
"postal_code": "63021",
"telephone_number": "636-346-7861"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "266 LAMP AND LANTERN VLG",
"city": "TOWN AND COUNTRY",
"state": "MO",
"postal_code": "630178209",
"telephone_number": "636-227-4949"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HAWK RIDGE CHIROPRACTIC AND ACUPUNCTURE, L.L.C.",
"organizational_subpart": "NO",
"enumeration_date": "2008-11-17",
"last_updated": "2018-06-21",
"status": "A",
"authorized_official_last_name": "RODENBAUGH",
"authorized_official_first_name": "LINDA",
"authorized_official_middle_name": "KAY",
"authorized_official_title_or_position": "SOLE MEMBER",
"authorized_official_telephone_number": "636-346-7861",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "111NP0017X",
"taxonomy_group": "",
"desc": "Chiropractor, Pediatric Chiropractor",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1578650537",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Town and Country, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.