Charles H Pike III, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

005651 Issued in MO

Practice address

4075 Highway 54 Ste 200
Osage Beach, MO 65065-2153

Phone

(573) 348-4640

Fax

(573) 348-4660

NPI assigned

Nov 1, 2007

Last updated

May 8, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Specialty

Chiropractic

Education

Cleveland Chiropractic College - Kansas City, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pike Chiropractic LLCGroup PAC ID 4587189121, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Pike Chiropractic LLC

  • Chiropractor
  • Osage Beach, MO
  • NPI 1164579553
  Medicare reassignment Care Compare group Authorized official
• Pike Chiropractic

  • Chiropractor
  • Osage Beach, MO
  • NPI 1447315585
  NPD (past)

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

{
    "created_epoch": "1193875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210204800000",
    "number": "1710166269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4075 HIGHWAY 54 STE 200",
            "city": "OSAGE BEACH",
            "state": "MO",
            "postal_code": "650652153",
            "telephone_number": "573-348-4640",
            "fax_number": "573-348-4660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4075 HIGHWAY 54 STE 200",
            "city": "OSAGE BEACH",
            "state": "MO",
            "postal_code": "650652153",
            "telephone_number": "573-348-4640",
            "fax_number": "573-348-4660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIKE",
        "first_name": "CHARLES",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-01",
        "last_updated": "2008-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "005651",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PIN",
            "identifier": "P00433240",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Ara Petrossian, MD
• Victor M. Phillips, M.D.
• Pike Chiropractic
• Pike Chiropractic LLC
• Amy S Pike, DC
• Mikayla Kimberly Pilant
• Natalie Dawn Plemmons
• Amber De Ann Polson, D.C., M.S.
• Joseph William Pope, M.P.T.
• Stephen James Preston, R.PH

• Chiropractor in Osage Beach, MO
• Providers in Osage Beach, MO by specialty
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2008; 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.