Lafayette Square Chiropractic Centre, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

20004024604 Issued in MO

Legal business name

LAFAYETTE SQUARE CHIROPRACTIC CENTRE, LLC

Practice address

1013 S 18TH St
Saint Louis, MO 63104-2909

Phone

(314) 497-5507

Fax

(314) 499-8310

NPI assigned

Sep 13, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Crystal B Peairs, D.C.NPI 1467407304

Title

Owner

Phone

(314) 497-5507

Specialties & licenses 1

Addresses

Other names 1

• Lafayette Square Chiropractic Centre Doing business as

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Locations

Practitioners 4

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

• Crystal B Peairs, D.C.

  • Chiropractor
  • Saint Louis, MO
  • NPI 1467407304
  Medicare reassignment Authorized official
• Gregory C Neff, D.C.

  • Chiropractor
  • Richmond Heights, MO
  • NPI 1538296470
  Medicare reassignment NPD
• Veronica Tino, DC

  • Chiropractor
  • Saint Louis, MO
  • NPI 1205503042
  Medicare reassignment NPD
• Matthew Clayton Smith, D.C

  • Chiropractor
  • Saint Louis, MO
  • NPI 1093708620
  NPD (past)

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663286400000",
    "number": "1083719447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1013 S 18TH ST",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631042909",
            "telephone_number": "314-436-3050",
            "fax_number": "314-499-8310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1013 S 18TH ST",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631042909",
            "telephone_number": "314-497-5507",
            "fax_number": "314-499-8310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAFAYETTE SQUARE CHIROPRACTIC CENTRE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2022-09-16",
        "certification_date": "2022-09-16",
        "status": "A",
        "authorized_official_last_name": "PEAIRS",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-497-5507",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "20004024604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lafayette Square Chiropractic Centre",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lafayette Square Chiropractic Centre",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ladue Physical Therapy and Personal Training, Inc
• Mary Alice Laduke
• Donald Roy Lafata, RPH
• Carolyn Ann Lafavre, MS
• Lafayette Preparatory Academy
• Jane Rene Laferla, LMSW
• Elizabeth Ann Laffey, MD
• Mary Laffey, PNP
• Steven P Laffey, MD
• Stephanie Martha Lafikes, CRNA

• Chiropractor in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2022; 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.