NPIMap

Organization Active NPI

Surfside Chiropractic Inc.

Doing business as Surfside Chiropractic

  • Chiropractor
  • Mount Vernon, MO
National Provider Identifier
1952461170
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
006602 Issued in MO
Legal business name
SURFSIDE CHIROPRACTIC INC.
Doing business as
Surfside Chiropractic
Practice address
731 Hastings St.
Mt. Vernon, MO 65712-1020
Phone
(417) 466-7166
Fax
(417) 466-7591
NPI assigned
Dec 11, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Donna L. Meyer, D.C.NPI 1922171974
Title
Owner
Phone
(417) 466-7166

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 006602 MO Primary

Addresses

Primary practice location

731 Hastings St.
Mt. Vernon, MO 65712-1020

Mailing address

731 Hastings St.
Mt. Vernon, MO 65712-1020
Phone (417) 466-7166

Other names 1

  • Surfside Chiropractic Doing business as

National Provider Directory

National Provider Directory

Locations

731 Hastings St
Mount Vernon, MO 65712
Phone (417) 366-4654

Practitioners & affiliated clinicians

Practitioners 8

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": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1952461170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "731 HASTINGS ST.",
            "city": "MT. VERNON",
            "state": "MO",
            "postal_code": "657121020",
            "telephone_number": "417-466-7166",
            "fax_number": "417-466-7591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "731 HASTINGS ST.",
            "city": "MT. VERNON",
            "state": "MO",
            "postal_code": "657121020",
            "telephone_number": "417-466-7166",
            "fax_number": "417-466-7591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURFSIDE CHIROPRACTIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MEYER",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "417-466-7166",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "006602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Surfside Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mount Vernon, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.