DESOTO CHIROPRACTIC, P.C. (NPI# 1053596478) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053596478 |
| Entity Type | Organization |
| Organization Name | DESOTO CHIROPRACTIC, P.C. |
| Practice Address |
112 N Main St De Soto MO 63020-1709 |
| Practice Telephone | 6365864226 |
| Practice Fax Number | 6365863791 |
| Mailing Telephone | 6365864226 |
| Mailing Fax Number | 6365863791 |
| Enumeration Date | 2008-01-03 |
| Last Update Date | 2008-01-03 |
| Authorized Official Name | JEFFREY DANIEL CARPENTER (OWNER) |
| Authorized Official Telephone | 6365864226 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 2004035442 | MO | Chiropractic Providers |
| Street Address |
112 N MAIN ST |
| City | DE SOTO |
| State | MO |
| Zip Code | 63020-1709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396733598 | Jeffrey D Carpenter | Chiropractor | 112 N Main St, De Soto, MO 63020-1709 | 2005-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700435385 | Patsy Maness | Technician | 5100 Knorpp Road, De Soto, MO 63020 | 2019-09-06 |
| 1013268911 | Jane Susann Brenneke | Counselor | 116 B 2nd Street, Desoto, MO 63020 | 2012-10-02 |
| 1477634277 | Wal-mart Stores East, Lp | Technician/Technologist | 12862 State Road 21, De Soto, MO 63020 | 2006-10-18 |
| 1235109877 | John W Dickinson | Dentist | 704 N Main Street, Desoto, MO 63020 | 2006-01-25 |
| 1700883253 | Valle Ambulance District | Ambulance | 12363 State Route 21, De Soto, MO 63020 | 2005-06-30 |
| 1568893105 | Terence A. Friskel | Dentist | 110 North Main, Desoto, MO 63020 | 2013-12-09 |
| 1457541427 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 12977 State Route 21, De Soto, MO 63020-1000 | 2007-07-26 |
| 1982880084 | Thomas L. Monje, O.d. | Optometrist | 26 Jefferson Sq, De Soto, MO 63020-1031 | 2008-01-18 |
| 1548266737 | Steven Crawford | Family Medicine | 12 Jefferson Sq, De Soto, MO 63020-1031 | 2005-06-22 |
| 1720595200 | Danielle Marie Howerton | Nurse Practitioner | 12 Jefferson Sq, De Soto, MO 63020-1031 | 2018-01-05 |
| Find all providers in zip 63020 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770751901 | Jamie Jo Young | Chiropractor | 414 W Miller St, De Soto, MO 63020-1910 | 2008-02-11 |
| 1558466441 | Don Reith | Chiropractor | 33255 Lexington Ave, Suite B, De Soto, KS 66018-7201 | 2006-09-14 |
| 1770710931 | Dr. J. Young, LLC | Chiropractor | 414 W Miller St, De Soto, MO 63020-1910 | 2009-06-16 |
| 1912108531 | Don Reith, Dc, Pa | Chiropractor | 33255 Lexington Ave, Suite B, De Soto, KS 66018-7201 | 2007-05-30 |
| 1396733598 | Jeffrey D Carpenter | Chiropractor | 112 N Main St, De Soto, MO 63020-1709 | 2005-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235730466 | Inline Chiropractic Center, LLC | Chiropractor | 244 W Mill St Ste 105, Liberty, MO 64068-2398 | 2020-11-04 |
| 1275133084 | Madison Huot | Chiropractor | 196 Hwy 100, Hermann, MO 65041 | 2020-10-30 |
| 1720688476 | Damien Sampson | Chiropractor | 1023 Main Plaza Dr Apt L, Wentzville, MO 63385-1170 | 2020-10-30 |
| 1184224495 | Michael Lentz | Chiropractor | 106 W Old Mill Rd, Fair Grove, MO 65648-8646 | 2020-10-27 |
| 1396344958 | Noah Adam Aldridge | Chiropractor | 2745 High Ridge Blvd Ste 5b, High Ridge, MO 63049-2200 | 2020-10-23 |
| 1982201455 | Maran Alexandra Tennis | Chiropractor | 211 Nw Executive Way Ste C, Lees Summit, MO 64063-1846 | 2020-10-07 |
| 1891392817 | Mason Coffman | Chiropractor | 101 N Lyon St, Butler, MO 64730-2131 | 2020-10-02 |
| 1255947230 | Matthew Mcpeak | Chiropractor | 4200 N Cloverleaf Dr Ste M, Saint Peters, MO 63376-6436 | 2020-09-16 |
| 1578179412 | James Crawford | Chiropractor | 2144 E Republic Rd Ste A104, Springfield, MO 65804-4645 | 2020-09-16 |
| 1780299164 | Michelle Marie Brungart | Chiropractor | 12201 Big Bend Rd Ste 200, Kirkwood, MO 63122-6831 | 2020-09-11 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.