Organization Active NPI

Tweedie Chiropractic LLC

  • Chiropractor
  • Bolivar, MO
National Provider Identifier
1902944705
Registry record updated Sep 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2000166831 Issued in MO
Legal business name
TWEEDIE CHIROPRACTIC LLC
Practice address
211 N Main Ave
Bolivar, MO 65613-1519
Phone
(417) 777-4848
Fax
(417) 777-3066
NPI assigned
Feb 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2012

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

Authorized official

Name
John Telfer Tweedie, DC
Title
Owner
Phone
(417) 777-4848

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2000166831 MO Primary

Addresses

Primary practice location

211 N Main Ave
Bolivar, MO 65613-1519

Mailing address

211 N Main Ave
Bolivar, MO 65613-1519
Phone (417) 777-4848

National Provider Directory

National Provider Directory

Locations

211 N Main Ave
Bolivar, MO 65613
Phone (417) 777-4848

201 N Main Ave
Bolivar, MO 65613
Phone (417) 777-4848

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": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346716800000",
    "number": "1902944705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 N MAIN AVE",
            "city": "BOLIVAR",
            "state": "MO",
            "postal_code": "656131519",
            "telephone_number": "417-777-4848",
            "fax_number": "417-777-3066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 N MAIN AVE",
            "city": "BOLIVAR",
            "state": "MO",
            "postal_code": "656131519",
            "telephone_number": "417-777-4848",
            "fax_number": "417-777-3066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWEEDIE CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-02",
        "last_updated": "2012-09-04",
        "status": "A",
        "authorized_official_last_name": "TWEEDIE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "TELFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "417-777-4848",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2000166831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bolivar, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2012; 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.