Theodore F. Valley II DC PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2016018389 Issued in MO

Legal business name

THEODORE F. VALLEY II DC PC

Practice address

510 Baxter Rd Ste 8
Chesterfield, MO 63017-7032

Phone

(636) 207-6600

Fax

(636) 207-6631

NPI assigned

Jan 8, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Theodore F Valley II, DC

Title

Doctor of Chiropractic Owner

Phone

(636) 207-6600

Specialties & licenses 1

Addresses

Other names 1

• Beyond The Body Wellness Through Chiropractic Doing business as

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

{
    "created_epoch": "1515369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515369600000",
    "number": "1063929388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 BAXTER RD STE 8",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630177032",
            "telephone_number": "636-207-6600",
            "fax_number": "636-207-6631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 BAXTER RD STE 8",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630177032",
            "telephone_number": "636-207-6600",
            "fax_number": "636-207-6631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THEODORE F. VALLEY II DC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-08",
        "last_updated": "2018-01-08",
        "status": "A",
        "authorized_official_last_name": "VALLEY",
        "authorized_official_first_name": "THEODORE",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC OWNER",
        "authorized_official_telephone_number": "636-207-6600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2016018389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beyond The Body Wellness Through Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Chiropractor in Chesterfield, MO
• Providers in Chesterfield, MO by specialty
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2018; 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.