Crider Chiropractic LLC

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

2007021516 Issued in MO

Legal business name

CRIDER CHIROPRACTIC LLC

Practice address

1043A Wolfrum Rd
Weldon Spring, MO 63304-7625

Phone

(314) 315-2868

NPI assigned

Aug 31, 2007

Last updated

Feb 24, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Heather Rene Stalcup, D.C

Title

Doctor

Phone

(314) 315-2868

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1188518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330041600000",
    "number": "1043404114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1043A WOLFRUM RD",
            "city": "WELDON SPRING",
            "state": "MO",
            "postal_code": "633047625",
            "telephone_number": "314-315-2868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1043A WOLFRUM RD",
            "city": "WELDON SPRING",
            "state": "MO",
            "postal_code": "633047625",
            "telephone_number": "314-315-2868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRIDER CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-31",
        "last_updated": "2012-02-24",
        "status": "A",
        "authorized_official_last_name": "STALCUP",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "RENE",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "314-315-2868",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "MO",
            "license": "2007021516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Health Maintenance Organization in Weldon Spring, MO
• Providers in Weldon Spring, MO by specialty
• Health Maintenance Organization in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2012; 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.