NPIMap

Organization Active NPI

Accident & Sports Rehab Corp

  • Sports Physician Chiropractor
  • Hazelwood, MO
National Provider Identifier
1013134923
Registry record updated Dec 4, 2007
On this page

Key facts

NPPES NPI Registry
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
Last updated
Dec 4, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2007

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

Authorized official

Name
Brian T Dent, D.C.NPI 1588793392
Title
Owner
Phone
(314) 895-3328

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician Chiropractor 111NS0005X 005912 MO Primary

Addresses

Primary practice location

6307 Hazelwest CT
Suite 100
Hazelwood, MO 63042-1739

Mailing address

6307 Hazelwest CT
Suite 100
Hazelwood, MO 63042-1739
Phone (314) 895-3328

National Provider Directory

National Provider Directory

Locations

6307 Hazelwest Ct
Ste 100
Hazelwood, MO 63042
Phone (314) 895-3328

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "MO",
            "license": "005912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hazelwood, MO

Sources for this page

  • 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.