Organization Active NPI

Luna Wellness Center, PC

  • Chiropractor
  • Brentwood, MO
National Provider Identifier
1114155587
Registry record updated Aug 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
200823938 Issued in MO
Legal business name
LUNA WELLNESS CENTER, PC
Practice address
2001 S Hanley Rd
Ste 250
Brentwood, MO 63144-1518
Phone
(314) 780-7820
Fax
(314) 644-7727
NPI assigned
Jun 24, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2011

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

Authorized official

Name
Dr. Sheri Beth McGuire, D.C.
Title
President
Phone
(314) 780-7820

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 038011410 IL
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 200823938 MO Primary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X CH9684 FL
Nutrition ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NN1001X 038011410 IL

Addresses

Primary practice location

2001 S Hanley Rd
Ste 250
Brentwood, MO 63144-1518

Mailing address

2001 S Hanley Rd
Ste 250
Brentwood, MO 63144-1518
Phone (314) 780-7820

National Provider Directory

National Provider Directory

Locations

2001 S Hanley Rd
Ste 250
Brentwood, MO 63144
Phone (314) 780-7820

NPI Registry JSON

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

{
    "created_epoch": "1245801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312934400000",
    "number": "1114155587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 S HANLEY RD",
            "address_2": "STE 250",
            "city": "BRENTWOOD",
            "state": "MO",
            "postal_code": "631441518",
            "telephone_number": "314-780-7820",
            "fax_number": "314-644-7727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 S HANLEY RD",
            "address_2": "STE 250",
            "city": "BRENTWOOD",
            "state": "MO",
            "postal_code": "631441518",
            "telephone_number": "314-780-7820",
            "fax_number": "314-644-7727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUNA WELLNESS CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-24",
        "last_updated": "2011-08-10",
        "status": "A",
        "authorized_official_last_name": "MCGUIRE",
        "authorized_official_first_name": "SHERI",
        "authorized_official_middle_name": "BETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-780-7820",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038011410",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "200823938",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH9684",
            "primary": false
        },
        {
            "code": "111NN1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Nutrition",
            "state": "IL",
            "license": "038011410",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brentwood, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2011; 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.