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417 PERFORMANCE CHIRO LLC
NPI 1770326480
Chiropractor in Springfield, MO

Active since June 18, 2024
4728 S CAMPBELL AVE STE 132, SPRINGFIELD, MO 65810(417) 597-3777 Get Directions Write a Review

NPPES record last updated: June 18, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About 417 Performance Chiro Llc NPPES

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

417 PERFORMANCE CHIRO LLC (NPI 1770326480) is a healthcare organization registered as a chiropractor in Springfield, Missouri and active in the NPI registry since June 2024. The organization lists Anthony C Bolin, Director/doctor, as its authorized official.

NPPES Registry Identity

NPI1770326480
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business Name417 PERFORMANCE CHIRO LLC
Location Address4728 S CAMPBELL AVE STE 132Springfield, MO 65810-1715
Mailing Address4728 S Campbell Ave Ste 132Springfield, MO 65810-1715 · (417) 597-3777
Phone(417) 597-3777
Organization SubpartNo
Authorized OfficialAnthony C BolinDirector/doctor · (417) 425-2759
Enumeration DateJune 18, 2024
NPPES CertifiedJune 18, 2024
✔ NPI 1770326480 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.

4728 S CAMPBELL AVE STE 132, Springfield, MO 65810
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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

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANTHONY C BOLIN II DC
Chiropractor
4728 S CAMPBELL AVE STE 132
SPRINGFIELD, MO 65810
Greene County (417) 597-3777
FAMILY PHARMACY INC
Pharmacy
4728 S CAMPBELL AVE STE 132
SPRINGFIELD, MO 65810
Greene County (417) 823-7878
NA'KEA SHEPHERD DC
Chiropractor
4728 S CAMPBELL AVE STE 132
SPRINGFIELD, MO 65810
Greene County (417) 597-3777
SMITH MANAGEMENT SERVICES, LLC
Pharmacy
4728 S CAMPBELL AVE STE 132
SPRINGFIELD, MO 65810
Greene County (417) 823-7878

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 417 Performance Chiro LLC's NPI number?

The NPI number for 417 Performance Chiro LLC is 1770326480. It was assigned to this organization in the NPPES registry on June 18, 2024.

Where is 417 Performance Chiro LLC located?

417 Performance Chiro LLC is located at 4728 S Campbell Ave Ste 132, Springfield, MO 65810. The listed phone number is (417) 597-3777.

What is 417 Performance Chiro 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 417 Performance Chiro LLC was last updated on June 18, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.