DESOTO CHIROPRACTIC, P.C.
NPI 1053596478
Chiropractor in De Soto, MO

NPI Status: Active since January 03, 2008

Contact Information

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

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  • Organization
  • Chiropractor
  • CLIA Number: 26D2033709
  • CLIA Cert. Type: Practitioner Other
  • CLIA Exp. Date: 12-07-2027

About DESOTO CHIROPRACTIC, P.C.

This page provides the complete NPI Profile along with additional information for Desoto Chiropractic, P.c., a provider established in De Soto, Missouri operating as a Chiropractor. The healthcare provider is registered in the NPI registry with number 1053596478 assigned on January 2008. The practitioner's primary taxonomy code is 111N00000X with license number 2004035442 (MO). The provider is registered as an organization and their NPI record was last updated 18 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Jeffrey Daniel Carpenter D.c. (Owner)

NPI
1053596478
Provider Name
DESOTO CHIROPRACTIC, P.C.
Entity Type
Organization
Location Address
112 N MAIN ST DE SOTO, MO 63020
Location Phone
(636) 586-4226
Location Fax
(636) 586-3791
Mailing Address
112 N MAIN ST DE SOTO, MO 63020
Mailing Phone
(636) 586-4226
Mailing Fax
(636) 586-3791
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-03-2008
Last Update Date
01-03-2008
Code Navigator

A chiropractor like Desoto Chiropractic, P.c. helps patients with problems of the neuromusculoskeletal system, which includes nerves, bones, muscles, ligaments, and tendons. Chiropractors use spinal adjustments and manipulation, as well as other clinical interventions, to manage health issues such as back and neck pain. Some chiropractors apply procedures like massage therapy, rehabilitative exercise, ultrasound and spinal adjustments and manipulation. A chiropractor focuses on the patients overall health and might refer patients to other healthcare professionals if necessary.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Chiropractor

Taxonomy Code
111N00000X
Type
Chiropractic Providers
License No.
2004035442
License State
MO
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JEFFREY DANIEL CARPENTER D.C.

Authorized Official Title
OWNER
Authorized Official Phone
(636) 586-4226

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
26D2033709
Facility Type
Practitioner Other
Certificate Effective Date
December 08, 2025
Certificate Expiration Date
December 07, 2027
Laboratory Director
JEFFREY D. CARPENTER
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Desoto Chiropractic, P.c. to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1053596478, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 52. The final step is to find the difference between that total and the next multiple of ten (60 - 52 = 8).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
3
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
9
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
4
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
8
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 5 → 10 → 1 6 → 12 → 3 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 1 + 0 + 3 + 1 + 0 + 9 + 1 + 2 + 4 + 1 + 4 + 24 = 52

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 52 is 60. The difference is the calculated check digit.

60 - 52 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1053596478.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Chiropractor
112 N MAIN ST
DE SOTO, MO 63020

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053596478, enumerated as an "organization" on January 03, 2008.

The provider is located at 112 N MAIN ST DE SOTO, MO 63020 and the phone number is (636) 586-4226.

Chiropractor with taxonomy code 111N00000X.