SJ BLACK INVESTMENTS LLC (NPI# 1033406434) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033406434 |
| Entity Type | Organization |
| Organization Name | SJ BLACK INVESTMENTS LLC |
| Other Organization Name | ACTIVE CHIROPRACTIC & SPINAL HEALTH |
| Practice Address |
501a South Franklin Street Cuba MO 65453 |
| Practice Telephone | 5732688226 |
| Enumeration Date | 2011-07-06 |
| Last Update Date | 2011-07-06 |
| Authorized Official Name | DR. SETH BLACK (OWNER) |
| Authorized Official Telephone | 5732688226 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 2008001513 | MO | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | PROVIDER INDIVIDUAL NPI NUMBER | 1508044991 | 01 |
| MO | MEDICARE PTAN | 149800001 | 01 |
| Other Name | Type Code |
|---|---|
| Active Chiropractic & Spinal Health | Doing Business As Name - Organization |
| Street Address |
501A SOUTH FRANKLIN STREET |
| City | CUBA |
| State | MO |
| Zip Code | 65453 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508365693 | Mary Frances Tatkenhorst | Counselor | 1200 Martin St Unit 2, Cuba, MO 65453 | 2018-02-05 |
| 1194112946 | Tamara Cooks | Pediatrics | 102 Ozark Dr Ste B, Cuba, MO 65453 | 2015-04-20 |
| 1427209667 | Monica Hutchison | Counselor | 1373 Windle Road, Cuba, MO 65453 | 2008-10-07 |
| 1164612818 | Healthnet Regional Center of Cuba, Inc.. | Clinic/Center | 108 Buchanan, Cuba, MO 65453 | 2007-07-30 |
| 1962523779 | Richard A Money | Social Worker | Stubblefield Care Ctr, 5349 Hwy P, Cuba, MO 65453 | 2007-04-02 |
| 1841338936 | Christopher C. Conger | Family Medicine | 105n Lawrence, Cuba, MO 65453 | 2007-02-02 |
| 1205989670 | Frank Puc | Pediatrics | 4400 W 95th Street, Suite 104, Oak Lawn, IL 65453 | 2007-01-19 |
| 1184731671 | Sandy Hagene | Nurse Practitioner | 102 Ozark Dr, Cuba, MO 65453 | 2006-08-23 |
| 1467643502 | Victorian Manor of Cuba Inc | Assisted Living Facility | 901 Hwy Dd, Cuba, MO 65453-0901 | 2007-08-05 |
| 1134436439 | Victorian Manor of Cuba-memory Care, Inc | Assisted Living Facility | 903 Hwy Dd, Cuba, MO 65453-0903 | 2010-09-08 |
| Find all providers in zip 65453 | ||||
| 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 |
|---|---|---|---|---|
| 1669557583 | Chiroserv PC | Chiropractor | 114 S Buchanan St., Cuba, MO 65453-1241 | 2006-10-26 |
| 1588751457 | Denean Marie Emerson | Chiropractor | 8 Genesee St, Cuba, NY 14727-1121 | 2006-10-10 |
| 1760475263 | Louis Edward Hagene | Chiropractor | 114 S Buchanan St, Cuba, MO 65453-1241 | 2005-08-30 |
| 1306849203 | Terry L. Sellers | Chiropractor | 102 Ozark Dr, Suite A, Cuba, MO 65453-1664 | 2005-05-24 |
| 1508044991 | Seth Black | Chiropractor | 501 S Franklin St, Suite A, Cuba, MO 65453-1409 | 2008-02-07 |
| 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.