DESOTO CHIROPRACTIC P.C. NPI 1053596478

NPI Information

  • NPI: 1053596478
  • Provider Name: DESOTO CHIROPRACTIC, P.C.
  • Classification: Chiropractor - 111N00000X
  • Entity Type: Organization
  • CLIA Number: 26D2033709
  • Address: 112 N MAIN ST
    DE SOTO, MO
    ZIP 63020
  • Phone: (636) 586-4226

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NPI Details

DESOTO CHIROPRACTIC, P.C. is a chiropractor in De Soto, MO. The provider is 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. DESOTO CHIROPRACTIC, P.C. NPI is 1053596478. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

112 N MAIN ST
DE SOTO, MO
ZIP 63020-709
Phone: (636) 586-4226
Fax: (636) 586-3791

The provider's authorized official is Jeffrey Daniel Carpenter .
The authorized official title is Owner and has the following contact phone number (636) 586-4226.

The CLIA number assigned to this NPI record is 26D2033709 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/3/2008 and was last updated on 1/3/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractor2004035442MISSOURIYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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