Organization Active NPI

James River Chiropractic and Wellness, LLC

  • Chiropractor
  • Springfield, MO
National Provider Identifier
1932739471
Registry record updated Jan 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
JAMES RIVER CHIROPRACTIC AND WELLNESS, LLC
Practice address
5335 S Campbell Ave Ste B
Springfield, MO 65810-2492
Phone
(417) 350-1131
Fax
(417) 350-1191
NPI assigned
Jan 23, 2020
Last updated
Jan 23, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2020

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

Authorized official

Name
Dr. Kandy L Hanafin Vice, DCNPI 1588651863
Title
Owner
Phone
(417) 350-1131

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
Chiropractor 111N00000X Primary

Addresses

Primary practice location

5335 S Campbell Ave Ste B
Springfield, MO 65810-2492

Mailing address

5335 S Campbell Ave Ste B
Springfield, MO 65810-2492
Phone (417) 350-1131

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
26D2311095James River Chiropractic and Wellness, LLC5335 S Campbell Ave, Ste B, Springfield, MO 65810Certificate of waiverSep 16, 2026

National Provider Directory

National Provider Directory

Locations

5335 S Campbell Ave
Ste B
Springfield, MO 65810
Phone (417) 350-1131

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1579737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579737600000",
    "number": "1932739471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5335 S CAMPBELL AVE STE B",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658102492",
            "telephone_number": "417-350-1131",
            "fax_number": "417-350-1191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5335 S CAMPBELL AVE STE B",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658102492",
            "telephone_number": "417-350-1131",
            "fax_number": "417-350-1191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES RIVER CHIROPRACTIC AND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-23",
        "last_updated": "2020-01-23",
        "certification_date": "2020-01-23",
        "status": "A",
        "authorized_official_last_name": "HANAFIN VICE",
        "authorized_official_first_name": "KANDY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "417-350-1131",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.