Active NPI
Kristina Clay, D.C., PC
- Chiropractor
- O Fallon, MO
National Provider Identifier
1073780920
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 006738
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kristina Clay, D.C.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.
-
- Chiropractor
- O Fallon, MO
- NPI 1629034426
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.