Active NPI
Andrews Chiropractic & Acupuncture Center of Semo,LLC
- Clinic/Center
- Jackson, MO
National Provider Identifier
1992953327
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- License
- 004660
- Legal business name
- ANDREWS CHIROPRACTIC & ACUPUNCTURE CENTER OF SEMO,LLC
- Practice address
- 3874 E Jackson Blvd
Jackson, MO 63755-3710 - Phone
- (573) 243-8983
- Fax
- (573) 243-7209
- NPI assigned
- Aug 27, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Khonda S Andrews, DC
- Title
- Owner/Chiropractor
- Phone
- (573) 243-8983
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | 004660 | MO | Primary |
Addresses
Primary practice location
3874 E Jackson Blvd
Jackson, MO 63755-3710
Mailing address
3874 E Jackson Blvd
Jackson, MO 63755-3710
Phone (573) 243-8983
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2930 | Other | MO | BLUE CROSS BLUE SHIELD |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Jackson, MO
- NPI 1639954217
-
- Chiropractor
- Cape Girardeau, MO
- NPI 1982774840
-
- Chiropractor
- Jackson, MO
- NPI 1184171282
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219795200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1219795200000",
"number": "1992953327",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3874 E JACKSON BLVD",
"city": "JACKSON",
"state": "MO",
"postal_code": "637553710",
"telephone_number": "573-243-8983",
"fax_number": "573-243-7209"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3874 E JACKSON BLVD",
"city": "JACKSON",
"state": "MO",
"postal_code": "637553710",
"telephone_number": "573-243-8983",
"fax_number": "573-243-7209"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANDREWS CHIROPRACTIC & ACUPUNCTURE CENTER OF SEMO,LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-08-27",
"last_updated": "2008-08-27",
"status": "A",
"authorized_official_last_name": "ANDREWS",
"authorized_official_first_name": "KHONDA",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
"authorized_official_telephone_number": "573-243-8983",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "MO",
"license": "004660",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "2930",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.