Chesterfield Spine & Sports Medicine Center LLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

2012011134 Issued in MO

Legal business name

CHESTERFIELD SPINE & SPORTS MEDICINE CENTER LLC

Practice address

16216 Baxter Rd
Suite 190
Chesterfield, MO 63017-4770

Phone

(270) 252-5840

Fax

(636) 778-1179

NPI assigned

Oct 8, 2014

Last updated

Oct 8, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Joshua Allen Adams, DC

Title

Owner/Ceo

Phone

(270) 252-5840

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1412726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412726400000",
    "number": "1134522881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16216 BAXTER RD",
            "address_2": "SUITE 190",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630174770",
            "telephone_number": "270-252-5840",
            "fax_number": "636-778-1179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16216 BAXTER RD",
            "address_2": "SUITE 190",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630174770",
            "telephone_number": "270-252-5840",
            "fax_number": "636-778-1179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHESTERFIELD SPINE & SPORTS MEDICINE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-08",
        "last_updated": "2014-10-08",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "270-252-5840",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MO",
            "license": "2012011134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chesterfield Orthopedics, PC
• Chesterfield Pediatrics
• Chesterfield Plastic & Reconstructive Surgery LLC
• Chesterfield Plastic Surgery, LLC
• Chesterfield Rehabilitation Physicians, LLC
• Chesterfield Treatment Center
• Chesterfield Valley Dermatology PC
• Chesterfield Valley Gastroenterology LLC
• Chesterfield Valley Internal Medicine & Pediatrics LLC
• Chesterfield Villas, LLC (Chesterfield Villas)

• Physical Medicine & Rehabilitation Physician in Chesterfield, MO
• Providers in Chesterfield, MO by specialty
• Physical Medicine & Rehabilitation Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2014; 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.