Organization Active NPI

Hawk Ridge Chiropractic and Acupuncture, L.L.C.

  • Chiropractor
  • Town and Country, MO
National Provider Identifier
1659526713
Registry record updated Jun 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
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, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2018

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1578650537OtherMONPI

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.