Organization Active NPI

Concordia Chiropractic Center, Inc

  • Chiropractor
  • Concordia, MO
National Provider Identifier
1992868673
Registry record updated Jul 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
CONCORDIA CHIROPRACTIC CENTER, INC
Practice address
723 South Main Street
Concordia, MO 64020-0752
Phone
(660) 463-7733
Fax
(660) 463-1367
NPI assigned
Dec 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2012

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

Authorized official

Name
Dr. Wayne R Myers, DC
Title
Owner
Phone
(660) 463-7733

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

723 South Main Street
Concordia, MO 64020-0752

Mailing address

PO Box 752
Concordia, MO 64020-0752
Phone (660) 463-7733

Other identifiers 1

IdentifierTypeStateIssuer
26244027OtherMOBCBS - KC

National Provider Directory

National Provider Directory

Locations

723 S Main St
Concordia, MO 64020
Phone (660) 463-7733

NPI Registry JSON

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343174400000",
    "number": "1992868673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 752",
            "city": "CONCORDIA",
            "state": "MO",
            "postal_code": "640200752",
            "telephone_number": "660-463-7733",
            "fax_number": "660-463-1367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "723 SOUTH MAIN STREET",
            "city": "CONCORDIA",
            "state": "MO",
            "postal_code": "640200752",
            "telephone_number": "660-463-7733",
            "fax_number": "660-463-1367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCORDIA CHIROPRACTIC CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-18",
        "last_updated": "2012-07-25",
        "status": "A",
        "authorized_official_last_name": "MYERS",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "660-463-7733",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS - KC",
            "identifier": "26244027",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Concordia, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2012; 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.