Individual provider Active NPI

Adam Paul Overcast, D.O.

  • Chiropractor
  • Farmington, MO
National Provider Identifier
1861692428
Registry record updated Jul 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2007020754 Issued in MO
Practice address
530 N Middle St
Farmington, MO 63640-1570
Phone
(573) 756-6496
NPI assigned
Jul 23, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2007020754 MO Primary

Addresses

Primary practice location

530 N Middle St
Farmington, MO 63640-1570

Mailing address

530 N. Middle St.
Farmington, MO 63640
Phone (573) 756-6496

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071026000214 MO Practitioner - Chiropractic 4385731132 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Desired Health Chiropractic, LLCGroup PAC ID 9830286681, 2 clinicians

Practice addresses (Care Compare)

134 W Pine St
Farmington, MO 63640-1403
Phone (573) 756-6496

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
2007020754MOMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Desired Health Chiropractic, LLC Chiropractor CurrentSince Aug 6, 2007 Accepting new patients

Locations

530 N Middle St
Farmington, MO 63640
Phone (573) 756-6496

134 W Pine St
Farmington, MO 63640
Phone (573) 756-6496

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1185148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185148800000",
    "number": "1861692428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 N. MIDDLE ST.",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "63640",
            "telephone_number": "573-756-6496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 N MIDDLE ST",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636401570",
            "telephone_number": "573-756-6496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OVERCAST",
        "first_name": "ADAM",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-23",
        "last_updated": "2007-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2007020754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.