Organization Active NPI

Skaggs Chiropractic, LLC

  • Chiropractor
  • Joplin, MO
National Provider Identifier
1861676074
Registry record updated Dec 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
006306 Issued in MO
Legal business name
SKAGGS CHIROPRACTIC, LLC
Practice address
1521 E 20TH St
Joplin, MO 64804-0928
Phone
(417) 624-4242
NPI assigned
Dec 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2007

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

Authorized official

Name
Dr. Steven R Skaggs, D.C.NPI 1831192715
Title
Owner
Phone
(417) 624-4242

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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 006306 MO Primary

Addresses

Primary practice location

1521 E 20TH St
Joplin, MO 64804-0928

Mailing address

1521 E 20TH St
Joplin, MO 64804-0928
Phone (417) 624-4242

Other identifiers 2

IdentifierTypeStateIssuer
9585963701MedicaidKS
758505101MedicaidMO

National Provider Directory

National Provider Directory

Locations

1521 E 20th St
Joplin, MO 64804
Phone (417) 624-4242

1802 W 32nd St
Ste D
Joplin, MO 64804
Phone (417) 624-4242

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1198454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198454400000",
    "number": "1861676074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1521 E 20TH ST",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648040928",
            "telephone_number": "417-624-4242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1521 E 20TH ST",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648040928",
            "telephone_number": "417-624-4242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKAGGS CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-24",
        "last_updated": "2007-12-24",
        "status": "A",
        "authorized_official_last_name": "SKAGGS",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "417-624-4242",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "006306",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9585963701",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "758505101",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Joplin, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2007; 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.