Organization Active NPI

Family First Chiropractic and Wellness Center

  • Pediatric Chiropractor
  • Columbia, MO
National Provider Identifier
1750694519
Registry record updated Jul 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric ChiropractorTaxonomy code 111NP0017X
License
2009036416 Issued in MO
Legal business name
FAMILY FIRST CHIROPRACTIC AND WELLNESS CENTER
Practice address
2011 Corona Rd
Ste 103
Columbia, MO 65203-2548
Phone
(573) 443-5900
Fax
(573) 443-5901
NPI assigned
Jul 22, 2010
Last updated
Jul 22, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2010

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

Authorized official

Name
Dr. Kelli D Winarski, D.C.NPI 1780998070
Title
Co-Owner
Phone
(573) 443-5900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Chiropractor 111NP0017X 2009036416 MO Primary

Addresses

Primary practice location

2011 Corona Rd
Ste 103
Columbia, MO 65203-2548

Mailing address

2011 Corona Rd
Ste 103
Columbia, MO 65203-2548
Phone (573) 443-5900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101103001305 MO Part B Supplier - Clinic/Group Practice 8527252527 Receives reassigned benefits from 4 practitioners
Practice locations: Columbia, MO

National Provider Directory

National Provider Directory

Locations

2011 Corona Rd
Ste 103
Columbia, MO 65203
Phone (573) 443-5900

2024 Cherry Hill Dr
Ste 101
Columbia, MO 65203
Phone (573) 443-5900

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1279756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279756800000",
    "number": "1750694519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2011 CORONA RD",
            "address_2": "STE 103",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652032548",
            "telephone_number": "573-443-5900",
            "fax_number": "573-443-5901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2011 CORONA RD",
            "address_2": "STE 103",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652032548",
            "telephone_number": "573-443-5900",
            "fax_number": "573-443-5901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY FIRST CHIROPRACTIC AND WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-22",
        "last_updated": "2010-07-22",
        "status": "A",
        "authorized_official_last_name": "WINARSKI",
        "authorized_official_first_name": "KELLI",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "573-443-5900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NP0017X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Pediatric Chiropractor",
            "state": "MO",
            "license": "2009036416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2010; 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.