Misty Marie Olberding, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2007029649 Issued in MO

Practice address

604 S Main St
Rock Port, MO 64482-1448

Phone

(660) 744-2165

Fax

(660) 744-2062

NPI assigned

Dec 5, 2007

Last updated

Dec 5, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

Specialty

Chiropractic

Education

Cleveland Chiropractic College - Kansas City, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Olberding Family Chiropractic, LLC

  • Chiropractor
  • Falls City, NE
  • NPI 1609169143
  Medicare reassignment Authorized official
• Powell Chiropractic Clinic

  • Chiropractor
  • Rock Port, MO
  • NPI 1225237837
  NPD (past)

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

{
    "created_epoch": "1196812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196812800000",
    "number": "1861674491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 S MAIN ST",
            "city": "ROCK PORT",
            "state": "MO",
            "postal_code": "644821448",
            "telephone_number": "660-744-2165",
            "fax_number": "660-744-2062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 S MAIN ST",
            "city": "ROCK PORT",
            "state": "MO",
            "postal_code": "644821448",
            "telephone_number": "660-744-2165",
            "fax_number": "660-744-2062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLBERDING",
        "first_name": "MISTY",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-05",
        "last_updated": "2007-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2007029649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dr. Susan P Eddleman
• Susan Pancoast Eddleman, D.D.S.
• Jennifer L Long-Kelly, LPC
• Janell Ann Moore, LPC, LMHP
• Northwest Missouri Industries, Inc.
• Pleasant View Healthcare LLC (Pleasant View)
• Powell Chiropractic Clinic
• Rock Port Wellness & Rehabilitation LLC
• Christopher James Roup, PHARMD
• Tiffany Care Centers, Inc (Pleasant View)

• Chiropractor in Rock Port, MO
• Providers in Rock Port, MO by specialty
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 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.

Verify at the official NPI Registry.