Accident & Sports Rehab Corp

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

005912 Issued in MO

Legal business name

ACCIDENT & SPORTS REHAB CORP

Practice address

6307 Hazelwest CT
Suite 100
Hazelwood, MO 63042-1739

Phone

(314) 895-3328

Fax

(314) 731-4832

NPI assigned

Apr 20, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Brian T Dent, D.C.

Title

Owner

Phone

(314) 895-3328

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stephen Gregory Pobst, D.C.

  • Chiropractor
  • Hazelwood, MO
  • NPI 1245558360
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196726400000",
    "number": "1013134923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6307 HAZELWEST CT",
            "address_2": "SUITE 100",
            "city": "HAZELWOOD",
            "state": "MO",
            "postal_code": "630421739",
            "telephone_number": "314-895-3328",
            "fax_number": "314-731-4832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6307 HAZELWEST CT",
            "address_2": "SUITE 100",
            "city": "HAZELWOOD",
            "state": "MO",
            "postal_code": "630421739",
            "telephone_number": "314-895-3328",
            "fax_number": "314-731-4832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCIDENT & SPORTS REHAB CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-20",
        "last_updated": "2007-12-04",
        "status": "A",
        "authorized_official_last_name": "DENT",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-895-3328",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "MO",
            "license": "005912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Sports Physician Chiropractor in Hazelwood, MO
• Providers in Hazelwood, MO by specialty
• Sports Physician Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.