Advanced Spine and Joint Center LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2011012693 Issued in MO

Legal business name

ADVANCED SPINE AND JOINT CENTER LLC

Practice address

2001 State Highway 248 Ste 6
Branson, MO 65616-4513

Phone

(417) 334-1334

Fax

(417) 334-8099

NPI assigned

Jan 16, 2012

Last updated

Jan 16, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Zachary Taylor Vahldick, DC

Title

Clinic Director

Phone

(417) 334-1334

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Locations

Practitioners 3

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.

• Zach T Vahldick, D.C

  • Chiropractor
  • Branson, MO
  • NPI 1558535328
  Medicare reassignment NPD
• Leon Cardona

  • Massage Therapist
  • Branson, MO
  • NPI 1427855824
  NPD
• Maryann Riveros, LMT

  • Massage Therapist
  • Branson, MO
  • NPI 1457120933
  NPD

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

{
    "created_epoch": "1326672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326672000000",
    "number": "1659642148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 STATE HIGHWAY 248 STE 6",
            "city": "BRANSON",
            "state": "MO",
            "postal_code": "656164513",
            "telephone_number": "417-334-1334",
            "fax_number": "417-334-8099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 STATE HIGHWAY 248 STE 6",
            "city": "BRANSON",
            "state": "MO",
            "postal_code": "656164513",
            "telephone_number": "417-334-1334",
            "fax_number": "417-334-8099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED SPINE AND JOINT CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-16",
        "last_updated": "2012-01-16",
        "status": "A",
        "authorized_official_last_name": "VAHLDICK",
        "authorized_official_first_name": "ZACHARY",
        "authorized_official_middle_name": "TAYLOR",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "417-334-1334",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2011012693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Meghan Abma, DO
• Adam Bennett LLC (Pediatric Dentistry of Branson)
• Adapthealth - Missouri LLC
• Advanced Orthotics and Prosthetics
• David H Afshar, DO
• Chad Thomas Agnew, M.D.
• Air Methods Corporation (Cox Air II)
• Charles Albritton, MD
• Sheny Alex, MD

• Chiropractor in Branson, MO
• Providers in Branson, MO by specialty
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.