State Line Chiropractic Clinic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

STATE LINE CHIROPRACTIC CLINIC LLC

Practice address

103 E 4TH St
Pineville, MO 64856

Phone

(417) 223-4736

Fax

(417) 223-4405

NPI assigned

Feb 7, 2008

Last updated

May 22, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Zachary A Knox

Title

Owner

Phone

(417) 223-4736

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Locations

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.

• Megan Nicole Knox, D.C.

  • Chiropractor
  • Pineville, MO
  • NPI 1770870768
  Medicare reassignment NPD
• Gilbert R Morgan, D.C.

  • Chiropractor
  • Pineville, MO
  • NPI 1154327070
  NPD (past)

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

{
    "created_epoch": "1202342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747872000000",
    "number": "1861670317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 672",
            "city": "PINEVILLE",
            "state": "MO",
            "postal_code": "648560672",
            "telephone_number": "417-226-4736",
            "fax_number": "417-226-4405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 E 4TH ST",
            "city": "PINEVILLE",
            "state": "MO",
            "postal_code": "64856",
            "telephone_number": "417-223-4736",
            "fax_number": "417-223-4405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE LINE CHIROPRACTIC CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-07",
        "last_updated": "2025-05-22",
        "certification_date": "2025-05-22",
        "status": "A",
        "authorized_official_last_name": "KNOX",
        "authorized_official_first_name": "ZACHARY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "417-223-4736"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tamon Berber Paige, M.D.
• Teresa N Randolph, APRN
• Jill Rogers
• Sgoh Acquisition, Inc.
• Norman Alan Smith, DC
• Wal-Mart Stores East LP (Vision Center 30-5261)
• Wal-Mart Stores East LP (Walmart Pharmacy 10-5261)
• Shannon Wyman

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2025; 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.