Active NPI
Kirksville Chiropractic and Rehabilitation LLC
- Clinic/Center
- Kirksville, MO
National Provider Identifier
1821334129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- License
- 2012001434
- Legal business name
- KIRKSVILLE CHIROPRACTIC AND REHABILITATION LLC
- Practice address
- 801 N Baltimore St
Kirksville, MO 63501-2575 - Phone
- (660) 665-0888
- Fax
- (660) 665-6977
- NPI assigned
- Dec 14, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Scott Eric Slaughter, D.C.
- Title
- Owner
- Phone
- (660) 665-0888
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | 2012001434 | MO | Primary |
Addresses
Primary practice location
801 N Baltimore St
Kirksville, MO 63501-2575
Mailing address
801 N Baltimore St
Kirksville, MO 63501-2575
Phone (660) 665-0888
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130405000473 | MO | Part B Supplier - Clinic/Group Practice | 1850536293 |
Receives reassigned benefits from 1 practitioner Practice locations: Kirksville, MO |
National Provider Directory
National Provider DirectoryLocations
801 N Baltimore St
Kirksville, MO 63501
Phone (660) 665-0888
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Kirksville, MO
- NPI 1932026127
-
- Chiropractor
- Kirksville, MO
- NPI 1619969995
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1355443200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1355443200000",
"number": "1821334129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 N BALTIMORE ST",
"city": "KIRKSVILLE",
"state": "MO",
"postal_code": "635012575",
"telephone_number": "660-665-0888",
"fax_number": "660-665-6977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 N BALTIMORE ST",
"city": "KIRKSVILLE",
"state": "MO",
"postal_code": "635012575",
"telephone_number": "660-665-0888",
"fax_number": "660-665-6977"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KIRKSVILLE CHIROPRACTIC AND REHABILITATION LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-12-14",
"last_updated": "2012-12-14",
"status": "A",
"authorized_official_last_name": "SLAUGHTER",
"authorized_official_first_name": "SCOTT",
"authorized_official_middle_name": "ERIC",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "660-665-0888",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "MO",
"license": "2012001434",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kirksville, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2012; 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.