Active NPI
Chiropractic of North County, LLC
- Chiropractor
- Saint Louis, MO
National Provider Identifier
1063872893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2002014997
- Legal business name
- CHIROPRACTIC OF NORTH COUNTY, LLC
- Practice address
- 10111 Lewis and Clark Blvd
Saint Louis, MO 63136-5562 - Phone
- (314) 867-8888
- NPI assigned
- Mar 7, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mark Tal Holland, D.C.
- Title
- Owner
- Phone
- (314) 867-8888
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2002014997 | MO | Primary |
Addresses
Primary practice location
10111 Lewis and Clark Blvd
Saint Louis, MO 63136-5562
Mailing address
10111 Lewis and Clark Blvd
Saint Louis, MO 63136-5562
National Provider Directory
National Provider DirectoryLocations
10111 Lewis and Clark Blvd
Saint Louis, MO 63136
Phone (314) 867-8888
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Saint Louis, MO
- NPI 1104697705
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1457308800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1457308800000",
"number": "1063872893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10111 LEWIS AND CLARK BLVD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631365562"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10111 LEWIS AND CLARK BLVD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631365562",
"telephone_number": "314-867-8888"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHIROPRACTIC OF NORTH COUNTY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-03-07",
"last_updated": "2016-03-07",
"status": "A",
"authorized_official_last_name": "HOLLAND",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "TAL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "314-867-8888",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "MO",
"license": "2002014997",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
- Chiro One Wellness Center of Central West End, LLC
- Chiro One Wellness Center of Creve Coeur LLC
- Chiropractic & Acupuncture Associates, P.C. (Kingen Chiropractic Wellness Center)
- Chiropractic Centre of Crestwood Inc.
- Chiropractic Centre-Olive/270,LLC
- Chisholm Martin Polite LLC
- Muhammad Ishaq Chishti, M.D.
- Mary Beth Chismarich, M.D.
- Jesse R Chisum, BSN,RN
- Angie Renee Chitty-Kloeppel, PHARMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.