Sport and Spine Chiropractic Center LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

2006030811 Issued in MO

Legal business name

SPORT AND SPINE CHIROPRACTIC CENTER LLC

Practice address

810 E Highway M
Warrenton, MO 63383-2215

Phone

(636) 456-2966

Fax

(636) 456-2977

NPI assigned

Jun 7, 2010

Last updated

Jun 7, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ginger Leah Sharp, D.C.NPI 1730253659

Title

Cfo

Phone

(636) 456-2966

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ginger L Sharp, DC

  • Chiropractor
  • Warrenton, MO
  • NPI 1730253659
  Authorized official Same address or phone

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

{
    "created_epoch": "1275868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275868800000",
    "number": "1083934517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 E HIGHWAY M",
            "city": "WARRENTON",
            "state": "MO",
            "postal_code": "633832215",
            "telephone_number": "636-456-2966",
            "fax_number": "636-456-2977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 E HIGHWAY M",
            "city": "WARRENTON",
            "state": "MO",
            "postal_code": "633832215",
            "telephone_number": "636-456-2966",
            "fax_number": "636-456-2977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPORT AND SPINE CHIROPRACTIC CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-07",
        "last_updated": "2010-06-07",
        "status": "A",
        "authorized_official_last_name": "SHARP",
        "authorized_official_first_name": "GINGER",
        "authorized_official_middle_name": "LEAH",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "636-456-2966",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MO",
            "license": "2006030811",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI (JOSHUA D. SHARP, D.C.)",
            "identifier": "1699975995",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI (GINGER SHARP, D.C.)",
            "identifier": "1730253659",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Taylor Simmons
• Chad J. Smith, D.O.
• Dan Robert Smith
• Meredith Smith, PT, DPT
• Adam Sparks, DPT, ATC
• SSM Cardinal Glennon Children's Hospital (SSM Health Cardinal Glennon Pediatrics)
• SSM Medical Group Inc. (SSM Health Medical Group)
• SSM Select Rehab St Louis LLC (SSM Physical Therapy)
• SSM Select Rehab St. Louis, LLC (SSM Health PT)
• SSM Select Rehab St. Louis, LLC

• Clinic/Center in Warrenton, MO
• Providers in Warrenton, MO by specialty
• Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2010; 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.