Organization Active NPI

Desloge Chiropractic Health Center, LLC

  • Chiropractor
  • Desloge, MO
National Provider Identifier
1689872186
Registry record updated Dec 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2003030306 Issued in MO
Legal business name
DESLOGE CHIROPRACTIC HEALTH CENTER, LLC
Practice address
311 N State St
Desloge, MO 63601-3051
Phone
(573) 431-1550
Fax
(573) 431-6991
NPI assigned
Jul 5, 2007
Last updated
Dec 28, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2020

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

Authorized official

Name
Dr. Michael Christopher Essmyer, D.C.NPI 1063539773
Title
Chiropractic Physician
Phone
(573) 431-1550

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2003030306 MO Primary

Addresses

Primary practice location

311 N State St
Desloge, MO 63601-3051

Mailing address

311 N State St
Desloge, MO 63601-3051
Phone (573) 431-1550

Other identifiers 3

IdentifierTypeStateIssuer
194205OtherMOBLUE CROSS BLUE SHIELD
693960OtherMOHEALTH LINK
666018OtherMOUNITED HEALTH CARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210114002194 MO Part B Supplier - Clinic/Group Practice 7618380429 Receives reassigned benefits from 1 practitioner
Practice locations: Desloge, MO

National Provider Directory

National Provider Directory

Locations

311 N State St
Desloge, MO 63601
Phone (573) 431-1550

334 N State St
Ste C-1
Desloge, MO 63601

334 N State St
Ste Cl
Desloge, MO 63601
Phone (573) 747-7882

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1183593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609113600000",
    "number": "1689872186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 N STATE ST",
            "city": "DESLOGE",
            "state": "MO",
            "postal_code": "636013051",
            "telephone_number": "573-431-1550",
            "fax_number": "573-431-6991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 N STATE ST",
            "city": "DESLOGE",
            "state": "MO",
            "postal_code": "636013051",
            "telephone_number": "573-431-1550",
            "fax_number": "573-431-6991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESLOGE CHIROPRACTIC HEALTH CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-05",
        "last_updated": "2020-12-28",
        "certification_date": "2020-12-28",
        "status": "A",
        "authorized_official_last_name": "ESSMYER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "CHIROPRACTIC PHYSICIAN",
        "authorized_official_telephone_number": "573-431-1550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2003030306",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "194205",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH LINK",
            "identifier": "693960",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "666018",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Desloge, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2020; 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.