Organization Active NPI

Florissant Chiropractic Center Inc

  • Chiropractor
  • Florissant, MO
National Provider Identifier
1093807406
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
004414 Issued in MO
Legal business name
FLORISSANT CHIROPRACTIC CENTER INC
Practice address
1160 S New Florissant Rd
Florissant, MO 63031-7702
Phone
(314) 837-4210
Fax
(314) 837-0718
NPI assigned
Sep 30, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Jerome Ernst Kock, D.C.NPI 1841287596
Title
President
Phone
(314) 837-4210

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 004414 MO Primary

Addresses

Primary practice location

1160 S New Florissant Rd
Florissant, MO 63031-7702

Mailing address

1160 S New Florissant Rd
Florissant, MO 63031-7702
Phone (314) 837-4210

National Provider Directory

National Provider Directory

Locations

1005 Dunn Rd
Lowr
Florissant, MO 63031
Phone (314) 477-6877

1160 S New Florissant Rd
Florissant, MO 63031
Phone (314) 837-4210

247 Dunn Rd
Florissant, MO 63031
Phone (314) 438-0700

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1159574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093807406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1160 S NEW FLORISSANT RD",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630317702",
            "telephone_number": "314-837-4210",
            "fax_number": "314-837-0718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1160 S NEW FLORISSANT RD",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630317702",
            "telephone_number": "314-837-4210",
            "fax_number": "314-837-0718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORISSANT CHIROPRACTIC CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KOCK",
        "authorized_official_first_name": "JEROME",
        "authorized_official_middle_name": "ERNST",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-837-4210",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "004414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florissant, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.