Jeffery Linn Huck, D.C

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2000144179 Issued in MO

Practice address

1110 N Desloge Dr
Desloge, MO 63601-2937

Phone

(573) 518-0608

Fax

(573) 518-0635

NPI assigned

Dec 29, 2006

Last updated

Oct 4, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Specialty

Chiropractic

Education

Logan College of Chiropractic, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• McIntyre Chiropractic LLC

  • Chiropractor
  • Bonne Terre, MO
  • NPI 1790142180
  NPD

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349308800000",
    "number": "1689730830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 N. DESLOGE DR.",
            "city": "DESLOGE",
            "state": "MO",
            "postal_code": "63601",
            "telephone_number": "573-518-0608",
            "fax_number": "573-518-0635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 N DESLOGE DR",
            "city": "DESLOGE",
            "state": "MO",
            "postal_code": "636012937",
            "telephone_number": "573-518-0608",
            "fax_number": "573-518-0635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUCK",
        "first_name": "JEFFERY",
        "middle_name": "LINN",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-29",
        "last_updated": "2012-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2000144179",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRSTHEALTH",
            "identifier": "1861165636",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITEDHEALTHCARE",
            "identifier": "4400137",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "453997",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSSBLUESHIELD",
            "identifier": "128276",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy Gruhala
• Haley Lerae Herbst, OTD, OTR/L
• Tasha Hollock, PTA
• Julie Danielle Hosking, P.T.
• Huck Chiropractic Health Center
• Tyce Huck, DC
• Stephanie Catherine Hughes, M.A., CF-SLP
• Angela Dawn Ibaviosa, R.PH.
• McKenzie Lee Kaughman, COTA
• Emily Beth Kernan, COTA/L

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.