Organization Active NPI

Body Mind Healing Center LLC

  • Chiropractor
  • Saint Louis, MO
National Provider Identifier
1104954783
Registry record updated Mar 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2002002428 Issued in MO
Legal business name
BODY MIND HEALING CENTER LLC
Practice address
230 S Bemiston Ave Ste 1010
Saint Louis, MO 63105-1907
Phone
(314) 725-8600
Fax
(314) 725-8607
NPI assigned
Mar 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2023

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

Authorized official

Name
Dr. Lori Weinstock, D.C.NPI 1952498529
Title
Owner
Phone
(314) 725-8600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2002002428 MO Primary

Addresses

Primary practice location

230 S Bemiston Ave Ste 1010
Saint Louis, MO 63105-1907

Mailing address

230 S Bemiston Ave Ste 1010
Saint Louis, MO 63105-1907
Phone (314) 725-8600

Other identifiers 1

IdentifierTypeStateIssuer
157346OtherMOBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041108001038 MO Part B Supplier - Clinic/Group Practice 3779546098 Receives reassigned benefits from 1 practitioner
Practice locations: Saint Louis, MO

National Provider Directory

National Provider Directory

Locations

10 S Brentwood Blvd
#410
Clayton, MO 63105
Phone (314) 725-8600

230 S Bemiston Ave
Ste 1010
Saint Louis, MO 63105
Phone (314) 725-8600

7751 Carondelet Ave
Ste 805
Saint Louis, MO 63105
Phone (314) 725-8600

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678924800000",
    "number": "1104954783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 S BEMISTON AVE STE 1010",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631051907",
            "telephone_number": "314-725-8600",
            "fax_number": "314-725-8607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 S BEMISTON AVE STE 1010",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631051907",
            "telephone_number": "314-725-8600",
            "fax_number": "314-725-8607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODY MIND HEALING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-02",
        "last_updated": "2023-03-16",
        "certification_date": "2023-03-16",
        "status": "A",
        "authorized_official_last_name": "WEINSTOCK",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-725-8600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2002002428",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "157346",
            "state": "MO"
        }
    ],
    "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 Mar 16, 2023; 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.

Verify at the official NPI Registry.