Organization Active NPI

Joplin Chiropractic Clinic

  • Chiropractor
  • Cape Girardeau, MO
National Provider Identifier
1700031978
Registry record updated Mar 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
004984 Issued in MO
Legal business name
JOPLIN CHIROPRACTIC CLINIC
Practice address
307 N Frederick St
Cape Girardeau, MO 63701-5627
Phone
(573) 335-9229
Fax
(573) 339-0994
NPI assigned
Dec 1, 2008
Last updated
Mar 3, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2009

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

Authorized official

Name
Stacey L Gallaher
Title
Billing
Phone
(573) 335-1779

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 004984 MO Primary

Addresses

Primary practice location

307 N Frederick St
Cape Girardeau, MO 63701-5627

Mailing address

307 N Frederick St
Cape Girardeau, MO 63701-5627
Phone (573) 335-9229

Other identifiers 3

IdentifierTypeStateIssuer
167051OtherMOHEALTHLINK
189392OtherMOCARPENTERS/GHP
8778OtherMOBLUE CROSS/ANTHEM

National Provider Directory

National Provider Directory

Locations

307 N Frederick St
Cape Girardeau, MO 63701
Phone (573) 335-9229

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": "1228089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236038400000",
    "number": "1700031978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 N FREDERICK ST",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637015627",
            "telephone_number": "573-335-9229",
            "fax_number": "573-339-0994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 N FREDERICK ST",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637015627",
            "telephone_number": "573-335-9229",
            "fax_number": "573-339-0994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOPLIN CHIROPRACTIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-01",
        "last_updated": "2009-03-03",
        "status": "A",
        "authorized_official_last_name": "GALLAHER",
        "authorized_official_first_name": "STACEY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "573-335-1779"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "004984",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "167051",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARPENTERS/GHP",
            "identifier": "189392",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/ANTHEM",
            "identifier": "8778",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Girardeau, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2009; 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.