417 Performance Chiro LLC
417 Performance Chiro LLC is a healthcare organization registered as Chiropractor in Springfield, MO, holding Type 2 (organization) NPI 1770326480 since 2024. The authorized official on file is Anthony Bolin, Director/Doctor.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1770326480 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | 417 Performance Chiro LLC |
| Practice address | 4728 S CAMPBELL AVE STE 132, Springfield, MO, 65810 |
| Phone | 4175973777 |
| Enumeration date | 2024-06-18 |
| Last updated in NPPES | 2024-06-18 |
Authorized official
| Name | Anthony Bolin |
|---|---|
| Title | Director/Doctor |
| Phone | 4174252759 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 111N00000X | Chiropractor | Primary | — | — |
Copy-ready billing details
Provider: 417 Performance Chiro LLC NPI: 1770326480 Taxonomy: 111N00000X (Chiropractor) Address: 4728 S CAMPBELL AVE STE 132, Springfield, MO, 65810
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1215902630 | Family Pharmacy Inc | Organization | Pharmacy | Springfield, MO |
| 1689153306 | Smith Management Services, LLC | Organization | Pharmacy | Springfield, MO |
| 1104450428 | Anthony Bolin | Individual | Chiropractor | Springfield, MO |
| 1528895745 | Na'Kea Shepherd | Individual | Chiropractor | Springfield, MO |
Verify this record
Cross-check NPI 1770326480 against the authoritative CMS record: view 417 Performance Chiro LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for 417 Performance Chiro LLC?
Who is the authorized official for 417 Performance Chiro LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2024-06-18.