KINNISON CHIROPRACTIC (NPI# 1477151363) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477151363 |
| Entity Type | Organization |
| Organization Name | KINNISON CHIROPRACTIC |
| Practice Address |
905 Main Plaza Dr Wentzville MO 63385-1168 |
| Mailing Address |
2017 Emerald Crest Ct Chesterfield MO 63017-5404 |
| Practice Telephone | 6368561260 |
| Practice Fax Number | 6368561245 |
| Mailing Telephone | 5737681250 |
| Enumeration Date | 2020-10-13 |
| Last Update Date | 2020-10-13 |
| Authorized Official Name | NATE EDWARD KINNISON (DR. NATE KINNISON) |
| Authorized Official Telephone | 5737681250 |
| Is Organization Subpart | Y |
| Parent Organization Name | KINNISON CHIROPRACTIC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111NR0400X |
Chiropractor Specialization: Rehabilitation |
Chiropractic Providers |
| Other Name | Type Code |
|---|---|
| Back Pain Center | Other Name - Individual/Organization |
| Street Address |
905 MAIN PLAZA DR |
| City | WENTZVILLE |
| State | MO |
| Zip Code | 63385-1168 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871133306 | Joshua David Baird | Chiropractor | 905 Main Plaza Dr, Wentzville, MO 63385-1168 | 2020-01-13 |
| 1285249581 | Nate Edward Kinnison | Chiropractor | 905 Main Plaza Dr, Wentzville, MO 63385-1168 | 2020-09-14 |
| 1922639376 | Baird Spine and Sport LLC | Chiropractor | 905 Main Plaza Dr, Wentzville, MO 63385-1168 | 2020-02-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235730243 | Jeffery William Ellis | Pharmacist | 1571 Wentzville Parkway, Wentzville, MO 63385 | 2020-11-05 |
| 1487266011 | Jason Wade Moore | Peer Specialist | 5 West Pearce Boulevard, Wentzville, MO 63385 | 2020-08-17 |
| 1265906176 | Montrice M Haynes | Counselor | 500 Medical Dr., Central Intake, Wentzville, MO 63385 | 2019-01-14 |
| 1841718459 | Linda Duree | Counselor | 7105 Whisper Creek Dr, Wentzville, MO 63385 | 2017-09-03 |
| 1811349368 | Sara Kleinlein | Social Worker | 500 Medical Drive, Wentzville, MO 63385 | 2016-07-08 |
| 1275980757 | Teona Moeller | Nurse Practitioner | 1598 West Meyer Dr., Wentzville, MO 63385 | 2016-05-16 |
| 1831561273 | Jay F. Hauser, Dds, PC | Dentist | 11 Wentzville Bluffs Drive, Wentzville, MO 63385 | 2015-10-26 |
| 1720402035 | Shara Kuehl | Speech-Language Pathologist | One Campus Drive, Wentzville, MO 63385 | 2014-02-06 |
| 1336480474 | Simply Loyal In Home and Transport Services LLC | Home Health | 152 Enterprise Dr, Wentzille, MO 63385 | 2013-03-14 |
| 1750641338 | Missouri Dental Professionals, Richard Straus, Dmd, PC | Dentist | 1849 Wentzville Parkway, Wentzville, MO 63385 | 2012-05-17 |
| Find all providers in zip 63385 | ||||
| Taxonomy Code | 111NR0400X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| Specialization | Rehabilitation |
| Rehabilitation is the discipline focused on restoring a patient's functional abilities to pre-injury or pre-disease status. Functional abilities are defined as those activities in one's daily life, work, or sports and recreational activities that an individual participates in. Relevant impairments (e.g. strength, endurance, flexibility, motor control, etc.) are often intermediate goals of rehabilitation, but the final goal of successful care is return to participation in activities in which the patient was successful before the onset of the injury or disease. Essential to a rehabilitation approach is a focus on patient-centered outcomes such as independence and self-management or self-care skills. |
| Notes: Source: The American Chiropractic Association (ACA) and the ACA Council on Physiological Therapeutics [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285249581 | Nate Edward Kinnison | Chiropractor | 905 Main Plaza Dr, Wentzville, MO 63385-1168 | 2020-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114343704 | Nicholas Divan | Chiropractor | 8045 Big Bend Blvd Ste 107, Saint Louis, MO 63119-2714 | 2014-03-06 |
| 1437496106 | Alternative Health and Medical Group, LLC | Chiropractor | 3637 South Ave, Springfield, MO 65807-5220 | 2013-01-14 |
| 1871851279 | William C Woodcock | Chiropractor | 17 Clarkson Rd, Ellisville, MO 63011-5009 | 2012-04-24 |
| 1467724120 | Health & Performance Center | Chiropractor | 11 Worthington Access Dr Ste D, Maryland Heights, MO 63043-3804 | 2012-01-27 |
| 1790066017 | Justin Adam Felsman | Chiropractor | 2643 Bennington Pl, Maryland Heights, MO 63043-1604 | 2011-08-31 |
| 1508159104 | Fredrick L Foster | Chiropractor | 3533 Dunn Rd Ste 230, Florissant, MO 63033-6761 | 2011-05-16 |
| 1306142930 | Parsons Chiropractic Sports Medicine | Chiropractor | 124 W North St, Peculiar, MO 64078-9422 | 2011-01-29 |
| 1326373085 | Elite Chiropractic Clinic Inc | Chiropractor | 8357 Nw Barrybrooke Dr, Kansas City, MO 64151-1024 | 2009-10-13 |
| 1740467364 | Dennis Earl Enix | Chiropractor | 721 Foxwick Dr, Ballwin, MO 63011-4234 | 2008-01-25 |
| 1992982946 | Donald S. Kreidler Chiropractic, PC | Chiropractor | 11901 Saint Charles Rock Rd, Bridgeton, MO 63044-2623 | 2008-01-22 |
| Find all providers with the same taxonomy | ||||
| City | WENTZVILLE |
| Zip Code | 63385 |
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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.