Nevada Chiropractic Clinic

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DRC 006411 Issued in MO

Legal business name

NEVADA CHIROPRACTIC CLINIC

Practice address

200 S Alma St
Nevada, MO 64772-3945

Phone

(417) 667-3699

Fax

(417) 667-3699

NPI assigned

Apr 16, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jason L. Meisenheimer, D.C.

Title

Owner

Phone

(417) 667-3699

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1952526923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 S ALMA ST",
            "city": "NEVADA",
            "state": "MO",
            "postal_code": "647723945",
            "telephone_number": "417-667-3699",
            "fax_number": "417-667-3699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S ALMA ST",
            "city": "NEVADA",
            "state": "MO",
            "postal_code": "647723945",
            "telephone_number": "417-667-3699",
            "fax_number": "417-667-3699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEVADA CHIROPRACTIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MEISENHEIMER",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "417-667-3699",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "DRC 006411",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSSBLUESHIELD",
            "identifier": "23118015",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• 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.