Total Life Chiropractic,P.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

005521 Issued in MO

Legal business name

TOTAL LIFE CHIROPRACTIC,P.C.

Practice address

110 Four Seasons Shopping Center
Chesterfield, MO 63017-3104

Phone

(314) 434-7771

Fax

(314) 434-7765

NPI assigned

Apr 23, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Richard Edward Solom, D.C.

Title

President

Phone

(314) 434-7771

Specialties & licenses 1

Addresses

Other names 1

• TLC CHIROPRACTIC Other name

Locations

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093933459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 FOUR SEASONS SHOPPING CENTER",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630173104",
            "telephone_number": "314-434-7771",
            "fax_number": "314-434-7765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 FOUR SEASONS SHOPPING CENTER",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630173104",
            "telephone_number": "314-434-7771",
            "fax_number": "314-434-7765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL LIFE CHIROPRACTIC,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SOLOM",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-434-7771",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "005521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TLC CHIROPRACTIC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• 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.