Active NPI
Joan M Citrin, D.C.
- Chiropractor
- Osage Beach, MO
National Provider Identifier
1740469915
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 004158
- Practice address
- 3797 Osage Beach Parkway
Suite A3A
Osage Beach, MO 65065 - Phone
- (573) 348-5050
- Fax
- (573) 302-7308
- NPI assigned
- Oct 24, 2007
- Last updated
- Jul 2, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 004158 | MO | Primary |
Addresses
Primary practice location
3797 Osage Beach Parkway
Suite A3A
Osage Beach, MO 65065
Mailing address
3797 Osage Beach Parkway
Suite A3D
Osage Beach, MO 65065
Phone (573) 348-5050
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004158 | MO | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1372723200000",
"number": "1740469915",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3797 OSAGE BEACH PARKWAY",
"address_2": "SUITE A3D",
"city": "OSAGE BEACH",
"state": "MO",
"postal_code": "65065",
"telephone_number": "573-348-5050",
"fax_number": "573-302-7308"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3797 OSAGE BEACH PARKWAY",
"address_2": "SUITE A3A",
"city": "OSAGE BEACH",
"state": "MO",
"postal_code": "65065",
"telephone_number": "573-348-5050",
"fax_number": "573-302-7308"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CITRIN",
"first_name": "JOAN",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-10-24",
"last_updated": "2013-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MO",
"license": "004158",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Osage Beach, MO
- Central Missouri Cardiovascular Associates, Inc.
- Kathleen Ann Champion, RDLD
- Jessica D Chaney, DPT
- Charles J. McMullin
- David M Chisholm, DO
- City of Osage Beach (Osage Beach Ambulance Service)
- Margaret Ann Clabough, PTA
- Clearview Outpatient Services Inc.
- Whitney L. Cline, DO
- Cobler Chiropractic and Sports Rehab LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.