NPIMap

Organization Active NPI

Mader-Dye Chiropractic Health Center, Inc,

Doing business as Lake of the Ozarks Chiropractic Center

  • Chiropractor
  • Camdenton, MO
National Provider Identifier
1801092606
Registry record updated Jul 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CEOO6535 Issued in MO
Legal business name
MADER-DYE CHIROPRACTIC HEALTH CENTER, INC,
Doing business as
Lake of the Ozarks Chiropractic Center
Practice address
41 Camden Court SW
Camdenton, MO 65020
Phone
(573) 346-2335
Fax
(573) 346-2334
NPI assigned
Jun 27, 2007
Last updated
Jul 21, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2010

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

Authorized official

Name
Dr. Lody S Mader, D.C.
Title
Owner
Phone
(573) 346-2335

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CEOO6520 MO
Chiropractor 111N00000X CEOO6535 MO Primary

Addresses

Primary practice location

41 Camden Court SW
Camdenton, MO 65020

Mailing address

PO Box 560
Camdenton, MO 65020-0560
Phone (573) 346-2335

Other names 1

  • LAKE OF THE OZARKS CHIROPRACTIC CENTER Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111215000870 MO Part B Supplier - Clinic/Group Practice 8426223652 Receives reassigned benefits from 2 practitioners
Practice locations: Camdenton, MO

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1182902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279670400000",
    "number": "1801092606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 560",
            "city": "CAMDENTON",
            "state": "MO",
            "postal_code": "650200560",
            "telephone_number": "573-346-2335",
            "fax_number": "573-346-2334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 CAMDEN COURT SW",
            "city": "CAMDENTON",
            "state": "MO",
            "postal_code": "65020",
            "telephone_number": "573-346-2335",
            "fax_number": "573-346-2334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADER-DYE CHIROPRACTIC HEALTH CENTER, INC,",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-27",
        "last_updated": "2010-07-21",
        "status": "A",
        "authorized_official_last_name": "MADER",
        "authorized_official_first_name": "LODY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "573-346-2335",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "CEOO6520",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "CEOO6535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LAKE OF THE OZARKS CHIROPRACTIC CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Camdenton, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.