GENESIS CHIROPRACTIC, LLC


Address: 1520 Parkway W, Festus, MO 63028-2381
Phone: 6369370100

GENESIS CHIROPRACTIC, LLC (NPI# 1144708975) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1144708975
Entity Type Organization
Organization Name GENESIS CHIROPRACTIC, LLC
Other Organization Name PROACTIVE CHIROPRACTIC
Practice Address 1520 Parkway W
Festus
MO 63028-2381
Mailing Address 101 Richardson Xing
Arnold
MO 63010-6006
Practice Telephone 6369370100
Mailing Telephone 3142102623
Mailing Fax Number 6364642180
Enumeration Date 2018-08-02
Last Update Date 2019-01-16
Authorized Official Name DR. LYNETTE RENEE MAYFIELD (OWNER)
Authorized Official Telephone 3142102623
Authorized Official Credential DC
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 111N00000X Chiropractor 2001008726 MO Chiropractic Providers

Other Provider/Organization Names

Other Name Type Code
ProActive Chiropractic Doing Business As Name - Organization

Other Data Sources

Entity Type Entity Name Entity Address
Colorado Business Entities Genesis Chiropractic, LLC 8683 E Lincoln Ave, Suite 220, Lone Tree, CO 80124

Office Location

Street Address 1520 PARKWAY W
City FESTUS
State MO
Zip Code 63028-2381

Providers in the same location

NPI Name Taxonomy Address Enumeration
1811991441 Jessica B Carlstrom Chiropractor 1520 Parkway W, Festus, MO 63028-2381 2005-06-10
1003964479 Walton Cs-vii, Inc Chiropractor 1520 Parkway W, Festus, MO 63028-2381 2007-01-08

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1952943268 Lauryn E Morris Occupational Therapist 3657 Baptist Park Rd, Mapaville, MO 63028 2019-10-09
1912557547 Rena Robinson Technician 150 Brandon Wallace Way Suite 1014, Suite 1014, Festus, MO 63028 2019-09-16
1780232264 Cynthia L James Technician 110 Juliet Place, Festus, MO 63028 2019-08-28
1700377009 Akr Endodontics, LLC Dentist 1431 Us Hwy 61, Festus, MO 63028 2018-05-22
1962869990 Fatma Esen Antakli Nurse Practitioner Advanced Pain Centers 190 Industrial Drive, Festus, MO 63028 2016-01-21
1083088744 Megan Schomer Counselor 2675 Meyer Rd, Festus, MO 63028 2015-11-18
1043608144 Elka Follmer Physical Therapist 1349 Us Hwy 61, Festus, MO 63028 2014-12-26
1811394729 Ashley Schwendeman Physical Therapist 1403 N. Truman Blvd, Fesuts, MO 63028 2014-11-21
1073871257 Staurla Chantel Waun Counselor 10719 Buckeye Rd, Festus, MO 63028 2012-04-25
1639444086 Jeffrey Steitz Otolaryngology 1390 Us Highway 61 Ste 3100, Festus, MO 63028 2012-03-19
Find all providers in zip 63028

Taxonomy Information

Taxonomy Code 111N00000X
Grouping Chiropractic Providers
Classification Chiropractor

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1942633193 Patrick Webster Smith Chiropractor 1552 Natchez Dr, Festus, MO 63028-2353 2013-08-12
1407044928 Walton Cs Vii Inc Chiropractor 1520 Parkway West, Festus, MO 63028-2381 2007-10-10
1548366115 Donald R Rueschhoff Chiropractor 620 Collins Dr, Festus, MO 63028-2077 2006-09-14
1811991441 Jessica B Carlstrom Chiropractor 1520 Parkway W, Festus, MO 63028-2381 2005-06-10
1598767832 Charles Eugene Klinginsmith Chiropractor 105 Borga Building, Festus, MO 63028-1136 2005-06-01
1154822112 Mathew Pilgrim Chiropractor 620 Collins Dr, Festus, MO 63028 2018-02-26
1033586847 Arbavada Chiropractic and Wellness Center LLC Chiropractor 1552 Natchez Dr, Festus, MO 63028-2353 2015-08-27
1922496322 Zwiener Chiropractic LLC Chiropractor 380 Festus Centre Dr, Festus, MO 63028-2460 2015-01-07
1790198539 Browning Chiropractic Chiropractor 105 Borga Building, Festus, MO 63028-1136 2014-06-10
1720310014 Elizabeth Schoenekase Dc, Inc Chiropractor 620 Collins Dr, Festus, MO 63028-2077 2010-02-11
Find all providers in FESTUS

Competitor

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City FESTUS
Zip Code 63028

Improve Information

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Dataset Information

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.

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