Proficient Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2006022760 Issued in MO

Legal business name

PROFICIENT CHIROPRACTIC LLC

Practice address

2050 Woodson Rd
Ste #101
Saint Louis, MO 63114-5644

Phone

(314) 713-1656

Fax

(314) 395-0607

NPI assigned

Nov 28, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Edgar Everett III, D.CNPI 1033177746

Title

Chiropractor

Phone

(314) 713-1656

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Practitioners 1

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

• Edgar Everett III, D.C.

  • Chiropractor
  • Overland, MO
  • NPI 1033177746
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220918400000",
    "number": "1124194428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2050 WOODSON RD",
            "address_2": "STE #101",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631145644",
            "telephone_number": "314-713-1656",
            "fax_number": "314-395-0607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 WOODSON RD",
            "address_2": "STE #101",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631145644",
            "telephone_number": "314-713-1656",
            "fax_number": "314-395-0607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFICIENT CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2008-09-09",
        "status": "A",
        "authorized_official_last_name": "EVERETT",
        "authorized_official_first_name": "EDGAR",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "314-713-1656",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2006022760",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "200250",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Professional Revenue Management LLC
• Professional Touch Salon Inc
• Professionals in OB-GYN, LLC
• Robert Cory Proffer, PHYSICIAN ASSISTANT
• Proficient Chiropractic Holdings LLC
• Proficient Chiropractic West End
• Natalie Bram Profumo, CRNA
• Progress Eyecare LLC
• Progress in Education Inc
• Progression Healthcare Mo, LLC

• Chiropractor in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2008; 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.