Active NPI
Joseph Michael Garrison, DC
- Chiropractor
- Washington, MO
National Provider Identifier
1740941756
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2021050839
- Practice address
- 3003 Recreation Dr
Washington, MO 63090-6118 - Phone
- (636) 221-7471
- NPI assigned
- Jan 3, 2022
- Last updated
- Aug 25, 2022
- Sex
- Male
- Sole proprietor
- No
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 | 2021050839 | MO | Primary |
Addresses
Primary practice location
3003 Recreation Dr
Washington, MO 63090-6118
Mailing address
121 E 6TH St
Washington, MO 63090-2703
Phone (636) 221-7471
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 |
|---|---|---|---|
| 2021050839 | MO | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Composite Rehab & Chiropractic | Current | Accepting new patients |
Locations
10 Hi Line Dr
Union, MO 63084
Phone (636) 221-7471
Organizations & group practices 1
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.
-
- Clinic/Center
- Union, MO
- NPI 1235881467
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1641168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661385600000",
"number": "1740941756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "121 E 6TH ST",
"city": "WASHINGTON",
"state": "MO",
"postal_code": "630902703",
"telephone_number": "636-221-7471"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3003 RECREATION DR",
"city": "WASHINGTON",
"state": "MO",
"postal_code": "630906118",
"telephone_number": "636-221-7471"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARRISON",
"first_name": "JOSEPH",
"middle_name": "MICHAEL",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-01-03",
"last_updated": "2022-08-25",
"certification_date": "2022-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MO",
"license": "2021050839",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Washington, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.