Active NPI
Smart Pain Solutions LLC
- Multi-Specialty Clinic/Center
- Saint Louis, MO
National Provider Identifier
1104596709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- Legal business name
- SMART PAIN SOLUTIONS LLC
- Practice address
- 225 S Meramec Ave Ste 306
Saint Louis, MO 63105-3511 - Phone
- (314) 721-5390
- NPI assigned
- Sep 15, 2021
- 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
- Robert Francis Andel
- Title
- Manager
- Phone
- (314) 479-2579
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | Primary |
Addresses
Primary practice location
225 S Meramec Ave Ste 306
Saint Louis, MO 63105-3511
Mailing address
11901 Saint Charles Rock Rd
Bridgeton, MO 63044-2623
Phone (314) 298-1400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110216001053 | MO | Part B Supplier - Clinic/Group Practice | 4284815721 |
Receives reassigned benefits from 5 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Bridgeton, MO; Saint Louis, MO |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider Directory- Tax ID family
- Smart Pain Solutions LLC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Chiropractor
- St. Louis, MO
- NPI 1568876456
-
- Chiropractor
- Bridgeton, MO
- NPI 1801190293
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631664000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1631664000000",
"number": "1104596709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11901 SAINT CHARLES ROCK RD",
"city": "BRIDGETON",
"state": "MO",
"postal_code": "630442623",
"telephone_number": "314-298-1400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 S MERAMEC AVE STE 306",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631053511",
"telephone_number": "314-721-5390"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SMART PAIN SOLUTIONS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-09-15",
"last_updated": "2021-09-15",
"certification_date": "2021-09-15",
"status": "A",
"authorized_official_last_name": "ANDEL",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "FRANCIS",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "314-479-2579"
},
"taxonomies": [
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2021; 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.