Van Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

VAN CHIROPRACTIC LLC

Practice address

302 W Morgan St
Marshall, MO 65340-1930

Phone

(660) 851-1878

NPI assigned

Dec 6, 2022

Organization subpart

No

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

Authorized official

Name

Amy Van, DCNPI 1104540053

Title

Owner

Phone

(660) 815-7176

Specialties & licenses 1

Addresses

Other names 1

• Van Chiropractic Doing business as

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Amy Van, DC

  • Chiropractor
  • Overland Park, KS
  • NPI 1104540053

  MO

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1670284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670284800000",
    "number": "1841901360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "814 W MORROW ST",
            "city": "MARSHALL",
            "state": "MO",
            "postal_code": "653402968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 W MORGAN ST",
            "city": "MARSHALL",
            "state": "MO",
            "postal_code": "653401930",
            "telephone_number": "660-851-1878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAN CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-06",
        "last_updated": "2022-12-06",
        "certification_date": "2022-12-05",
        "status": "A",
        "authorized_official_last_name": "VAN",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "660-815-7176",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Van Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Sara Walker, RDN

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2022; 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.