Active NPI
William Richard Humphrey II, D.C.
- Chiropractor
- St. Louis, MO
National Provider Identifier
1003133893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 005279
- Practice address
- 5615 Pershing
Suite 22
St. Louis, MO 63112 - Phone
- (314) 454-0566
- Fax
- (314) 454-9406
- NPI assigned
- May 3, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 005279 | MO | Primary |
Addresses
Primary practice location
5615 Pershing
Suite 22
St. Louis, MO 63112
Mailing address
5615 Pershing
Suite 22
St. Louis, MO 63112
Phone (314) 454-0566
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 005279 | MO | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1272844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1272844800000",
"number": "1003133893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5615 PERSHING",
"address_2": "SUITE 22",
"city": "ST. LOUIS",
"state": "MO",
"postal_code": "63112",
"telephone_number": "314-454-0566",
"fax_number": "314-454-9406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5615 PERSHING",
"address_2": "SUITE 22",
"city": "ST. LOUIS",
"state": "MO",
"postal_code": "63112",
"telephone_number": "314-454-0566",
"fax_number": "314-454-9406"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUMPHREY",
"first_name": "WILLIAM",
"middle_name": "RICHARD",
"name_suffix": "II",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-05-03",
"last_updated": "2010-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MO",
"license": "005279",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in St. Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.