NPIMap

Organization Active NPI

Fix Chiropractic and Nutrition Centre LLC

  • Chiropractor
  • Poplar Bluff, MO
National Provider Identifier
1831468925
Registry record updated Mar 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2011037826 Issued in MO
Legal business name
FIX CHIROPRACTIC AND NUTRITION CENTRE LLC
Practice address
1908 Greenwood Dr
Suite B
Poplar Bluff, MO 63901-2430
Phone
(573) 778-1199
Fax
(573) 712-2799
NPI assigned
Dec 20, 2011
Last updated
Mar 26, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2012

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

Authorized official

Name
Dr. Jeremiah Mosher, D.C.NPI 1861769705
Title
Owner
Phone
(573) 778-1199

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2011037826 MO Primary

Addresses

Primary practice location

1908 Greenwood Dr
Suite B
Poplar Bluff, MO 63901-2430

Mailing address

1908 Greenwood Dr
Suite B
Poplar Bluff, MO 63901-2430
Phone (573) 778-1199

National Provider Directory

National Provider Directory

Locations

1908 Greenwood Dr
#B
Poplar Bluff, MO 63901
Phone (573) 778-1199

1908 Greenwood Dr
Ste B
Poplar Bluff, MO 63901
Phone (573) 778-1199

Practitioners & affiliated clinicians

Practitioners 1

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": "1324339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332720000000",
    "number": "1831468925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1908 GREENWOOD DR",
            "address_2": "SUITE B",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639012430",
            "telephone_number": "573-778-1199",
            "fax_number": "573-712-2799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1908 GREENWOOD DR",
            "address_2": "SUITE B",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639012430",
            "telephone_number": "573-778-1199",
            "fax_number": "573-712-2799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIX CHIROPRACTIC AND NUTRITION CENTRE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-20",
        "last_updated": "2012-03-26",
        "status": "A",
        "authorized_official_last_name": "MOSHER",
        "authorized_official_first_name": "JEREMIAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "573-778-1199",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2011037826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poplar Bluff, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.