Fully Alive Gonstead Clinic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

FULLY ALIVE GONSTEAD CLINIC LLC

Practice address

111 Anna Ave
Troy, MO 63379-2402

Phone

(636) 245-7477

NPI assigned

Jan 19, 2026

Organization subpart

No

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

Authorized official

Name

Dr. Levi Miller, DCNPI 1912611609

Title

Owner/Doctor

Phone

(636) 245-7477

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Levi J Miller, DC

  • Chiropractor
  • Silex, MO
  • NPI 1912611609
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1768780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768780800000",
    "number": "1750240479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3163 HIGHWAY H",
            "city": "SILEX",
            "state": "MO",
            "postal_code": "633773403",
            "telephone_number": "636-245-7477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 ANNA AVE",
            "city": "TROY",
            "state": "MO",
            "postal_code": "633792402",
            "telephone_number": "636-245-7477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULLY ALIVE GONSTEAD CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-19",
        "last_updated": "2026-01-19",
        "certification_date": "2026-01-19",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "LEVI",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "636-245-7477",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Staci Foster, D.C.
• Briana Foust
• Jennifer Fritts, DENTAL HYGIENIST
• FSH-in Home Health Care,LC
• John Fuller, MD
• Rebecca Rose Furlano, DC
• Quinn Gallen, OD
• Susan Kaye Galloway, LPC
• Christina Gawedzinski
• Mary Margaret Geiger, DMD

• Chiropractor in Troy, MO
• Providers in Troy, MO by specialty
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.