FULLY ALIVE GONSTEAD CLINIC LLC
NPI 1750240479
Chiropractor in Troy, MO

Q: What is Fully Alive Gonstead Clinic LLC's NPI number?

The NPI number for Fully Alive Gonstead Clinic LLC is 1750240479. It was assigned to this organization in the NPPES registry on January 19, 2026.

Q: What is Fully Alive Gonstead Clinic LLC's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Active since January 19, 2026

111 ANNA AVE, TROY, MO 63379(636) 245-7477 Get Directions Write a Review

NPPES record last updated: January 19, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Fully Alive Gonstead Clinic Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FULLY ALIVE GONSTEAD CLINIC LLC (NPI 1750240479) is a healthcare organization registered as a chiropractor in Troy, Missouri and active in the NPI registry since January 2026. The organization lists Levi Miller, Owner/doctor, as its authorized official.

NPPES Registry Identity

NPI1750240479

Entity TypeOrganization

Primary Taxonomy111N00000X

Legal Business NameFULLY ALIVE GONSTEAD CLINIC LLC

Location Address111 ANNA AVETroy, MO 63379-2402

Mailing Address3163 Highway HSilex, MO 63377-3403 · (636) 245-7477

Phone(636) 245-7477

Organization SubpartNo

Authorized OfficialLevi MillerOwner/doctor · (636) 245-7477

Enumeration DateJanuary 19, 2026

NPPES CertifiedJanuary 19, 2026

✔ NPI 1750240479 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

Definition

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.

111 ANNA AVE, Troy, MO 63379

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fully Alive Gonstead Clinic LLC's NPI number?

The NPI number for Fully Alive Gonstead Clinic LLC is 1750240479. It was assigned to this organization in the NPPES registry on January 19, 2026.

Where is Fully Alive Gonstead Clinic LLC located?

Fully Alive Gonstead Clinic LLC is located at 111 Anna Ave, Troy, MO 63379. The listed phone number is (636) 245-7477.

What is Fully Alive Gonstead Clinic LLC's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Fully Alive Gonstead Clinic LLC was last updated on January 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.