Tri-Lakes Chiropractic Clinic P C

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

TRI-LAKES CHIROPRACTIC CLINIC P C

Practice address

2404 State Highway 248 Ste 3
Branson, MO 65616-9627

Phone

(417) 336-5856

Fax

(417) 336-3137

NPI assigned

Jan 23, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Perilyn Lee Olson-Johns, D. C.NPI 1043245509

Title

Doctor

Phone

(417) 336-5856

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Locations

Practitioners 4

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

• Perilyn Lee Olson-Johns, DC

  • Chiropractor
  • Branson, MO
  • NPI 1043245509
  Medicare reassignment NPD Authorized official
• Kimberly Lynne Wineinger, DC

  • Chiropractor
  • Branson, MO
  • NPI 1114958105
  NPD (past)
• Chase R Carpenter, DC

  • Chiropractor
  • Pleasanton, KS
  • NPI 1467558676
  NPD (past)
• Simon Nolting

  • Chiropractor
  • Oskaloosa, KS
  • NPI 1174903322
  NPD (past)

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722297600000",
    "number": "1932253283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2404 STATE HIGHWAY 248 STE 3",
            "city": "BRANSON",
            "state": "MO",
            "postal_code": "656169627",
            "telephone_number": "417-336-5856",
            "fax_number": "417-336-3137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2404 STATE HIGHWAY 248 STE 3",
            "city": "BRANSON",
            "state": "MO",
            "postal_code": "656169627",
            "telephone_number": "417-336-5856",
            "fax_number": "417-336-3137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-LAKES CHIROPRACTIC CLINIC P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A",
        "authorized_official_last_name": "OLSON-JOHNS",
        "authorized_official_first_name": "PERILYN",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "417-336-5856",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D. C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• TP Branson Ops LLC
• Hoa Thi Mai Tran
• Transformed Psychiatric Wellness LLC
• Tri Lakes Medical and Surgical Eye Clinic, Inc.
• Tri-Lakes Anesthesia, LLC
• Tri-Lakes Church
• Tri-Lakes Diagnostic Imaging, LLC
• Tri-Lakes Diagnostic Tech.
• Tri-Lakes Surgery Center, LLC
• Tri-Lakes Urology, Inc

• All providers in Branson, MO
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.