Organization Active NPI

Kristina Clay, D.C., PC

  • Chiropractor
  • O Fallon, MO
National Provider Identifier
1073780920
Registry record updated May 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
006738 Issued in MO
Legal business name
KRISTINA CLAY, D.C., PC
Practice address
2917 Highway K
Suite F
O Fallon, MO 63368-7979
Phone
(636) 379-9105
Fax
(636) 379-9107
NPI assigned
May 9, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2008

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

Authorized official

Name
Dr. Kristina Clay, D.C.NPI 1629034426
Title
President
Phone
(636) 379-9105

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 006738 MO Primary

Addresses

Primary practice location

2917 Highway K
Suite F
O Fallon, MO 63368-7979

Mailing address

2917 Highway K
Suite F
O Fallon, MO 63368-7979
Phone (636) 379-9105

Other names 1

  • CenterPoint Chiropractic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080721000021 MO Part B Supplier - Clinic/Group Practice 8123191426 Receives reassigned benefits from 1 practitioner
Practice locations: O Fallon, MO

National Provider Directory

National Provider Directory

Locations

2917 Highway K
Ste F
O Fallon, MO 63368
Phone (314) 239-2427

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1210291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210291200000",
    "number": "1073780920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2917 HIGHWAY K",
            "address_2": "SUITE F",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633687979",
            "telephone_number": "636-379-9105",
            "fax_number": "636-379-9107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2917 HIGHWAY K",
            "address_2": "SUITE F",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633687979",
            "telephone_number": "636-379-9105",
            "fax_number": "636-379-9107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISTINA CLAY, D.C., PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-09",
        "last_updated": "2008-05-09",
        "status": "A",
        "authorized_official_last_name": "CLAY",
        "authorized_official_first_name": "KRISTINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "636-379-9105",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "006738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CenterPoint Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in O Fallon, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.