Active NPI
Joplin Chiropractic Clinic
- Chiropractor
- Cape Girardeau, MO
National Provider Identifier
1700031978
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 004984
- 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, 2009
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 167051 | Other | MO | HEALTHLINK |
| 189392 | Other | MO | CARPENTERS/GHP |
| 8778 | Other | MO | BLUE CROSS/ANTHEM |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Chiropractor
- Cape Girardeau, MO
- NPI 1134129901
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.