Paul R Lumpkin Jr DC Chiropractor Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

003358 Issued in MO

Legal business name

PAUL R LUMPKIN JR DC CHIROPRACTOR INC

Doing business as

Paul R Lumpkin DC PC

Practice address

409 W Osage St
Pacific, MO 63069-1332

Phone

(636) 271-2960

Fax

(636) 271-9165

NPI assigned

Jan 29, 2007

Last updated

Aug 10, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Paul R Lumpkin, DC

Title

President

Phone

(636) 271-2960

Specialties & licenses 1

Addresses

Other identifiers 5

Other names 1

• PAUL R LUMPKIN DC PC Doing business as

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344556800000",
    "number": "1770629743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 W OSAGE ST",
            "city": "PACIFIC",
            "state": "MO",
            "postal_code": "630691332",
            "telephone_number": "636-271-2960",
            "fax_number": "636-271-9165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 W OSAGE ST",
            "city": "PACIFIC",
            "state": "MO",
            "postal_code": "630691332",
            "telephone_number": "636-271-2960",
            "fax_number": "636-271-9165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL R LUMPKIN JR DC CHIROPRACTOR INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2012-08-10",
        "status": "A",
        "authorized_official_last_name": "LUMPKIN",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "636-271-2960",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "003358",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHP",
            "identifier": "33716",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "112106",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE 1 NPI",
            "identifier": "1477578169",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "9732",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "4407500",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PAUL R LUMPKIN DC PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.