TABLE ROCK CHIROPRACTIC P.C. – Chiropractor, NPI 1801189444

TABLE ROCK CHIROPRACTIC P.C. is a healthcare provider. based in Kimberling city, Missouri. specializing in Chiropractor. The organization holds a License No. 2009019491 (MO). The NPI Number for TABLE ROCK CHIROPRACTIC P.C. is 1801189444

Main info

Organization
Name
TABLE ROCK CHIROPRACTIC P.C.
NPI
1801189444
Phone
(417) 739-9000
Address
2 KISSEE AVE
Authorized Official
ADAM SMITH OWNER DC
Enumeration Date
16 May 2011
Last Update Date
23 September 2011
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:15State licenses:1Digital endpointsOther names

Provider Addresses for TABLE ROCK CHIROPRACTIC P.C.

  • 2 KISSEE AVE

    SUITE E

    KIMBERLING CITY, MO 656869701

    Phone: (417) 739-9000

    Fax: (417) 739-9002

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-09-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2025-08-31 (283 days ago).

Enrollment records

1

Earliest due date

2025-08-31

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20110926000496OClinic/Group PracticeMO2025-08-31

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 65686)

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Reviews

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Frequently asked questions

How is TABLE ROCK CHIROPRACTIC P.C. identified in CMS data?
CMS-hosted NPPES data lists TABLE ROCK CHIROPRACTIC P.C. with NPI 1801189444.
Does the file indicate TABLE ROCK CHIROPRACTIC P.C. is practicing under active NPI?
Directory data currently reports TABLE ROCK CHIROPRACTIC P.C. as active.
What is TABLE ROCK CHIROPRACTIC P.C.'s primary classification?
Chiropractor is the headline specialty for TABLE ROCK CHIROPRACTIC P.C. here. Clinical services aligned with this taxonomy classification.
What address line appears for TABLE ROCK CHIROPRACTIC P.C.?
TABLE ROCK CHIROPRACTIC P.C.'s geographic hint is Kimberling City, Missouri in our summary view.
What does 'Organization' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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