DR. CHRISTY GARDE BREAU (NPI# 1982760609) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1982760609 |
Entity Type | Individual |
Full Name | DR. CHRISTY GARDE BREAU |
Other Name | CHRISTY RENE GARDE |
Credential | D.C. |
Practice Address |
412 Nw Mock Ave Ste A Blue Springs MO 64014-2511 |
Practice Telephone | 8162243440 |
Practice Fax Number | 8162243442 |
Mailing Telephone | 8162243440 |
Mailing Fax Number | 8162243442 |
Enumeration Date | 2006-12-28 |
Last Update Date | 2011-03-15 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 111N00000X | Chiropractor | 006622 | MO | Chiropractic Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MO | AETNA PROVIDER NUMBER | 7081050 | 01 |
MO | BCBS PROVIDER NUMBER | 26419029 | 01 |
Street Address |
412 NW MOCK AVE STE A |
City | BLUE SPRINGS |
State | MO |
Zip Code | 64014-2511 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487608519 | Anthony C Trakas | Dentist | 412 Nw Mock Ave, Blue Springs, MO 64014-2511 | 2006-05-22 |
1093981441 | Sunrise Chiropractic Acupuncture and Nutrition LLC | Chiropractor | 412 Nw Mock Ave, Suite A, Blue Springs, MO 64014-2511 | 2008-05-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437756319 | Ltaj Properties LLC | Physical Therapist | 514 Nw State 7 Hwy, Suite A, Blue Springs, MO 64014 | 2020-10-05 |
1790397198 | Miranda Bramble | Pharmacist | 1701 Nw Highway 7, Blue Springs, MO 64014 | 2020-08-18 |
1659915098 | Cheif Smiles LLC | Dentist | 620 E. Us Highway 40, Blue Springs, MO 64014 | 2019-10-29 |
1629637764 | Beau Devereux Butzirus | Dentist | 1125 South Mo-7, Blue Springs, MO 64014 | 2019-06-12 |
1245725605 | Brian Geraghty | Orthopaedic Surgery | 201 Nw R D Mize Road, Blue Springs, MO 64014 | 2018-06-28 |
1588101224 | Andy Anderson | Prevention Professional | 2705 Nw 3rd Ter, Blue Springs, MO 64014 | 2017-01-19 |
1801250469 | Louis Spear | Dentist | 1215 A Nw 7 Highway, Blue Springs, MO 64014 | 2016-04-11 |
1083027411 | Alex Sharifian Dds Blue Springs Dentistry PC | Dentist | 1205 Ne Coronado Drive, Blue Springs, MO 64014 | 2014-06-03 |
1730512336 | Valerie Fombon | Pharmacist | 625 W 40 Hwy, Blue Springs, MO 64014 | 2013-08-19 |
1356692750 | Central Jackson County Fire Protection District | Ambulance | 805 Ne Jefferson St, Blue Springs, MO 64014 | 2012-09-25 |
Find all providers in zip 64014 |
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 |
---|---|---|---|---|
1427685056 | Terry Alan Hessenflow | Chiropractor | 2705 Se 6th St, Blue Springs, MO 64014-5103 | 2020-03-24 |
1598327447 | Tara Corwin | Chiropractor | 1201 Nw Jefferson St Ste C, Blue Springs, MO 64015-6400 | 2019-07-01 |
1497228423 | Dillon James Martinek | Chiropractor | 1200 Nw South Outer Rd Ste 220, Blue Springs, MO 64015-3084 | 2019-01-02 |
1154755585 | Rustici Wellness Center LLC | Chiropractor | 2307 Nw South Outer Rd Ste 101, Blue Springs, MO 64015-1712 | 2013-08-21 |
1093157463 | Balanced Spine and Rehabilitaion Chiropractic Center | Chiropractor | 3505 Nw Nautical Ct, Blue Springs, MO 64015-7029 | 2013-07-25 |
1619227436 | Amundson Chiropractic Health Services LLC | Chiropractor | 104 N 7 Hwy Ste G, Blue Springs, MO 64014-2749 | 2012-09-19 |
1235462912 | Scott E. Hollis | Chiropractor | 1412 S 7 Hwy Ste F, Blue Springs, MO 64014-3544 | 2009-09-11 |
1871731042 | Joshua M Oyler | Chiropractor | 103 S 7 Hwy, Suite H, Blue Springs, MO 64014-3047 | 2009-01-27 |
1497937676 | Michael Ray Pardun | Chiropractor | 3650 W Hwy 40, Blue Springs, MO 64015 | 2007-11-29 |
1023201621 | Harvest Chriopractic Clinic, P.C. | Chiropractor | 1401 Nw Jefferson St Ste A, Blue Springs, MO 64015-7239 | 2007-08-27 |
Find all providers in BLUE SPRINGS |
City | BLUE SPRINGS |
Zip Code | 64014 |
Please comment or provide details below to improve the information on DR. CHRISTY GARDE BREAU.
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.