Active NPI
Smart Pain Solutions LLC
- Multi-Specialty Clinic/Center
- Saint Louis, MO
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
- Last updated
- 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
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) | 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.
-
dba Accident & Back Care Center
- Chiropractor
- Bridgeton, MO
- NPI 1801190293
O20110216001053
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
- Saint Louis, MO
- NPI 1568876456
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.
-
- Chiropractor
- Bridgeton, MO
- NPI 1881842540
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.