DR. DIMITRIOS M THEOHARIDIS (NPI# 1982797262) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982797262 |
| Entity Type | Individual |
| Full Name | DR. DIMITRIOS M THEOHARIDIS |
| Credential | DC |
| Practice Address |
10901 Tom Watson Pkwy Parkville MO 64152-3991 |
| Mailing Address |
10901 Tom Watson Parkway Parkville MO 64152 |
| Practice Telephone | 8167414104 |
| Practice Fax Number | 8167414515 |
| Mailing Telephone | 8167414104 |
| Mailing Fax Number | 8167414515 |
| Enumeration Date | 2006-10-01 |
| Last Update Date | 2013-07-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 006774 | MO | Chiropractic Providers |
| N | 111N00000X | Chiropractor | X010154 | NY | Chiropractic Providers |
| Street Address |
10901 TOM WATSON PKWY |
| City | PARKVILLE |
| State | MO |
| Zip Code | 64152-3991 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154715696 | Amanda Waters | Chiropractor | 10901 Tom Watson Pkwy, Parkville, MO 64152-3991 | 2015-03-23 |
| 1316341928 | Chiropractic Pain Center | Chiropractor | 10901 Tom Watson Pkwy, Parkville, MO 64152-3991 | 2014-10-13 |
| 1659626935 | Patti Marie King | Chiropractor | 10901 Tom Watson Pkwy, Parkville, MO 64152-3991 | 2012-07-23 |
| 1306114418 | James Dunbar | Podiatrist | 10901 Tom Watson Pkwy, Parkville, MO 64152-3991 | 2011-12-03 |
| 1790862654 | Chiropractic Healthcare Plus, PC | Chiropractor | 10901 Tom Watson Pkwy, Parkville, MO 64152-3991 | 2006-10-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669025573 | Kayla S Jones | Behavior Technician | 63301 Nw Kelly Dr Ste A, Parkville, MO 64152 | 2019-07-19 |
| 1386191401 | Branson Lyle Billings | Dentist | 8600 Tom Watson Pkwy., Ste. 101, Parkville, MO 64152 | 2016-09-07 |
| 1467908467 | Abigail Stanley | Dietitian, Registered | 6185 Jefferson Avenue, Parkville, MO 64152 | 2016-08-30 |
| 1568874477 | Latoya R Walker | Counselor | 8341 Nw Mace Rd Ste 115, Kansas City, MO 64152 | 2014-05-27 |
| 1386088284 | Stacey Chestnut-watson | Counselor | 8341 Nw Mace Rd Ste 120, Kansas City, MO 64152 | 2013-04-22 |
| 1093069049 | Rhonda Joyce Weimer | Counselor | 160 A West 12th Street, Parkville, MO 64152 | 2012-10-30 |
| 1902182892 | Kelly Dawn Siebert | Pharmacist | 3645 Frederick Blvd, St. Joseph, MO 64152 | 2011-10-24 |
| 1922301563 | Casey Chiropractic LLC | Chiropractor | 8303 N. Congress Ave, Kansas City, MO 64152 | 2010-12-20 |
| 1093910994 | Jennifer A. Sutch | Occupational Therapist | 8400 Nw 62nd.st., Parkville, MO 64152 | 2007-06-19 |
| 1154483972 | Karla Elaine Woodring Fredericks | Counselor | 171 English Landing Drive, Suite 220, Parkville, MO 64152 | 2006-12-15 |
| Find all providers in zip 64152 | ||||
| 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 |
|---|---|---|---|---|
| 1649741588 | Mid-atlantic Spinal Rehab & Chiropractic | Chiropractor | 9403 Harford Rd Ste 1, Parkville, MD 21234-3123 | 2018-12-17 |
| 1487078598 | Alison Anstaett | Chiropractor | 7432 Nw River Park Dr, Parkville, MO 64152-5028 | 2014-02-10 |
| 1538329057 | Darrell Garrett Cole | Chiropractor | 9705 Parkland Rd, Parkville, MD 21234-2144 | 2008-06-10 |
| 1023147188 | Troy R Henderson | Chiropractor | 8304 Harford Rd, Parkville, MD 21234-5700 | 2007-03-05 |
| 1538273586 | Robert Glenn Frieman | Chiropractor | 8838 Waltham Woods Rd, Parkville, MD 21234-2402 | 2006-08-18 |
| 1659484301 | Jason V Walp | Chiropractor | 8913 Clement Avenue, Parkville, MD 21234-2603 | 2006-08-16 |
| 1700859675 | Anne-laure Gauthier | Chiropractor | 6008 N State Route 9, Suite A, Parkville, MO 64152-3549 | 2006-02-09 |
| 1760460158 | Jason Vaughn Walp | Chiropractor | 8913 Clement Ave, Parkville, MD 21234-2603 | 2006-01-05 |
| 1508397597 | Elizabeth Thorne LLC | Chiropractor | 6264 Lewis Dr, Ste 101, Parkville, MO 64152-3603 | 2017-03-22 |
| 1407227390 | Hands On Health Family Chiropractic, LLC | Chiropractor | 7432 Nw River Park Dr, Parkville, MO 64152-5028 | 2015-10-17 |
| Find all providers in PARKVILLE | ||||
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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.