NPIMap

Organization Active NPI

Magnolia Chiropractic LLC

  • Chiropractor
  • Saint Robert, MO
National Provider Identifier
1891466165
Registry record updated Sep 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
MAGNOLIA CHIROPRACTIC LLC
Practice address
571 VFW Memorial Dr Ste 1
Saint Robert, MO 65584-4793
Phone
(573) 677-6070
NPI assigned
Sep 25, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2021

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

Authorized official

Name
Dr. Elijah Bowers, DCNPI 1023672045
Title
Owner
Phone
(573) 259-6955

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 Primary

Addresses

Primary practice location

571 VFW Memorial Dr Ste 1
Saint Robert, MO 65584-4793

Mailing address

571 VFW Memorial Dr Ste 1
Saint Robert, MO 65584-4793
Phone (573) 677-6070

National Provider Directory

National Provider Directory

Locations

571 Vfw Memorial Dr
Ste 1
Saint Robert, MO 65584
Phone (573) 677-6070

Practitioners & affiliated clinicians

Practitioners 2

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": "1632528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632528000000",
    "number": "1891466165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "571 VFW MEMORIAL DR STE 1",
            "city": "SAINT ROBERT",
            "state": "MO",
            "postal_code": "655844793",
            "telephone_number": "573-677-6070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "571 VFW MEMORIAL DR STE 1",
            "city": "SAINT ROBERT",
            "state": "MO",
            "postal_code": "655844793",
            "telephone_number": "573-677-6070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-25",
        "last_updated": "2021-09-25",
        "certification_date": "2021-09-25",
        "status": "A",
        "authorized_official_last_name": "BOWERS",
        "authorized_official_first_name": "ELIJAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "573-259-6955",
        "authorized_official_name_prefix": "Dr.",
        "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": []
}

Other providers in Saint Robert, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2021; 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.