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).
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 2001008726 | MO | Chiropractic Providers |
| Other Name | Type Code |
|---|---|
| ProActive Chiropractic | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Genesis Chiropractic, LLC | 8683 E Lincoln Ave, Suite 220, Lone Tree, CO 80124 |
| Street Address |
1520 PARKWAY W |
| City | FESTUS |
| State | MO |
| Zip Code | 63028-2381 |
| 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 |
| 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 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 |
|---|---|---|---|---|
| 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 | ||||
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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.