Individual provider Active NPI

Judd Adam Fuhr, D.C.

  • Chiropractor
  • Saint Louis, MO
National Provider Identifier
1043551682
Registry record updated Mar 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2002024771 Issued in MO
Practice address
4704 Shrewsbury Ave
Saint Louis, MO 63119-3316
Phone
(314) 802-7117
Fax
(314) 222-2547
NPI assigned
Mar 6, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2002024771 MO Primary

Addresses

Primary practice location

4704 Shrewsbury Ave
Saint Louis, MO 63119-3316

Mailing address

4704 Shrewsbury Ave
Saint Louis, MO 63119-3316
Phone (314) 802-7117

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

LicenseStateTypeSpecialty
2002024771MOMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Brentwood Family Chiropractic Center, LLC Chiropractor PastSince Jan 3, 2006 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1362528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362528000000",
    "number": "1043551682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4704 SHREWSBURY AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631193316",
            "telephone_number": "314-802-7117",
            "fax_number": "314-222-2547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4704 SHREWSBURY AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631193316",
            "telephone_number": "314-802-7117",
            "fax_number": "314-222-2547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUHR",
        "first_name": "JUDD",
        "middle_name": "ADAM",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-03-06",
        "last_updated": "2013-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2002024771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2013; 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.