Tara Adams LLC

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

2012027709 Issued in MO

Legal business name

TARA ADAMS LLC

Practice address

429 Coronado Dr
Ballwin, MO 63011-2543

Phone

(636) 346-1390

NPI assigned

Mar 1, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Tara Adams, D.C.

Title

Owner

Phone

(636) 346-1390

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1362096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362096000000",
    "number": "1134460090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "429 CORONADO DR",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630112543",
            "telephone_number": "636-346-1390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "429 CORONADO DR",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630112543",
            "telephone_number": "636-346-1390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TARA ADAMS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-01",
        "last_updated": "2013-03-01",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "TARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "636-346-1390",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "MO",
            "license": "2012027709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2013; 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.