STATE LINE CHIROPRACTIC CLINIC LLC
NPI 1861670317
Chiropractor in Pineville, MO

Active since February 07, 2008
103 E 4TH ST, PINEVILLE, MO 64856(417) 223-4736(417) 223-4405 Get Directions Write a Review

NPPES record last updated: May 22, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 22, 2025, Mar 18, 2025 (2 updates tracked since 2025).

About State Line Chiropractic Clinic Llc NPPES

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

STATE LINE CHIROPRACTIC CLINIC LLC (NPI 1861670317) is a healthcare organization registered as a chiropractor in Pineville, Missouri and active in the NPI registry since February 2008. The organization lists Zachary A Knox, Owner, as its authorized official.

NPPES Registry Identity

NPI1861670317
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameSTATE LINE CHIROPRACTIC CLINIC LLC
Location Address103 E 4TH STPineville, MO 64856
Mailing AddressPo Box 672Pineville, MO 64856-0672 · (417) 226-4736 · Fax (417) 226-4405
Fax(417) 223-4405
Organization SubpartNo
Authorized OfficialZachary A KnoxOwner · (417) 223-4736
Enumeration DateFebruary 7, 2008
Last NPPES UpdateMay 22, 20252 updates tracked since enumeration
NPPES CertifiedMay 22, 2025
✔ NPI 1861670317 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.
103 E 4TH ST, Pineville, MO 64856

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

State Line Chiropractic Clinic Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to State Line Chiropractic Clinic LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Chiropractic
NPI 1770870768
103 E 4TH ST
Pineville, MO 64856
(479) 855-7374
✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 State Line Chiropractic Clinic LLC's NPI number?

The NPI number for State Line Chiropractic Clinic LLC is 1861670317. It was assigned to this organization in the NPPES registry on February 7, 2008.

Where is State Line Chiropractic Clinic LLC located?

State Line Chiropractic Clinic LLC is located at 103 E 4th St, Pineville, MO 64856. The listed phone number is (417) 223-4736.

What is State Line Chiropractic Clinic LLC's specialty?

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

Is State Line Chiropractic Clinic LLC enrolled in Medicare?

Yes. State Line Chiropractic Clinic LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through State Line Chiropractic Clinic LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to State Line Chiropractic Clinic LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for State Line Chiropractic Clinic LLC was last updated on May 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.