Charest Chiropractic

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2015043019 Issued in MO

Legal business name

CHAREST CHIROPRACTIC

Practice address

21 Kimberling Blvd
Kimberling City, MO 65686

Phone

(918) 896-9431

NPI assigned

Apr 4, 2018

Last updated

Nov 15, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Bruce Aaron Charest, DCNPI 1295817179

Title

Chiropractor/ Owner

Phone

(417) 739-4764

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Bruce Aaron Charest, D.C.

  • Chiropractor
  • Kimberling City, MO
  • NPI 1295817179
  NPD Authorized official
• Douglas Lee Kolb, DC

  • Chiropractor
  • Kimberling City, MO
  • NPI 1528164639
  NPD (past)

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

{
    "created_epoch": "1522800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668470400000",
    "number": "1992201396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 765",
            "city": "KIMBERLING CITY",
            "state": "MO",
            "postal_code": "656860765",
            "telephone_number": "417-739-4764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 KIMBERLING BLVD",
            "city": "KIMBERLING CITY",
            "state": "MO",
            "postal_code": "65686",
            "telephone_number": "918-896-9431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAREST CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-04",
        "last_updated": "2022-11-15",
        "certification_date": "2022-11-15",
        "status": "A",
        "authorized_official_last_name": "CHAREST",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "AARON",
        "authorized_official_title_or_position": "CHIROPRACTOR/ OWNER",
        "authorized_official_telephone_number": "417-739-4764",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2015043019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharon Rae Bruffett, PTA
• Theodore Steve Caddell, DC
• Bruce Aaron Charest, D.C.
• Susan Ashley Durham, C.O.T.A
• Fordland Clinic, Inc. (Tri-Lakes Community Health Center)
• Daniel E Kessler
• Kimberling City Pharmacy, Inc.

• Chiropractor in Kimberling City, MO
• Providers in Kimberling City, MO by specialty
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2022; 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.