Cameron Chiro LLC
Organization Active NPI Chiropractor · Cameron, MO
NPI 1922786110 · NPPES record last updated Jul 7, 2023
Key facts
- NPI
- 1922786110
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- Legal business name
- CAMERON CHIRO LLC
- Practice address
- 1809 N Walnut St
Cameron, MO 64429-8627 - Phone
- (816) 632-6201
- NPI assigned
- Jul 7, 2023
- Organization subpart
- No
Authorized official
- Name
- Dr. Marcus Juracek, DC
- Title
- Owner
- Phone
- (816) 632-6201
Practitioners 2
-
Beth Anne West, D.C.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230803000800 | MO | Part B Supplier - Clinic/Group Practice | 9032570353 |
Receives reassigned benefits from 1 practitioner Practice locations: Cameron, MO |
National Provider Directory
Locations
1809 N Walnut St
Cameron, MO 64429
Phone (816) 632-6201
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | Yes |
Addresses
Primary practice location
1809 N Walnut St
Cameron, MO 64429-8627
Mailing address
1809 N Walnut St
Cameron, MO 64429-8627
Phone (816) 632-6201
Other names
- Cameron Chiropractic
Other providers in Cameron, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 7, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.