Active NPI
Frederick Guenther, D.C.
- Chiropractor
- Nevada, MO
National Provider Identifier
1811020423
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2000153089
- Practice address
- 127 E Austin Blvd
Ste D
Nevada, MO 64772-3376 - Phone
- (417) 549-9700
- NPI assigned
- Mar 13, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | 2000153089 | MO | Primary |
Addresses
Primary practice location
127 E Austin Blvd
Ste D
Nevada, MO 64772-3376
Mailing address
127 E Austin Blvd
Ste D
Nevada, MO 64772-3376
Phone (417) 549-9700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2000153089 | Other | MO | MO STATE LICENSE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050509000510 | MO | Practitioner - Chiropractic | 7113967225 | Practice locations: Nevada, MO |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Cleveland Chiropractic College - Kansas City, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
127 E Austin Blvd D
Nevada, MO 64772-3371
Phone (417) 549-9700
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2000153089 | MO | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1811020423",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "127 E AUSTIN BLVD",
"address_2": "STE D",
"city": "NEVADA",
"state": "MO",
"postal_code": "647723376",
"telephone_number": "417-549-9700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "127 E AUSTIN BLVD",
"address_2": "STE D",
"city": "NEVADA",
"state": "MO",
"postal_code": "647723376",
"telephone_number": "417-549-9700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUENTHER",
"first_name": "FREDERICK",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-13",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MO",
"license": "2000153089",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MO STATE LICENSE NUMBER",
"identifier": "2000153089",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Nevada, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.