Organization Active NPI

Lake Saint Louis Chiropractic and Rehab LLC

  • Chiropractor
  • Lake Saint Louis, MO
National Provider Identifier
1154093151
Registry record updated Jan 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
LAKE SAINT LOUIS CHIROPRACTIC AND REHAB LLC
Practice address
910 Bent Oak CT
Lake Saint Louis, MO 63367-1473
Phone
(636) 265-1116
Fax
(866) 519-5622
NPI assigned
Sep 29, 2021
Last updated
Jan 3, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2025

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

Authorized official

Name
James BaxterNPI 1568077907
Title
Owner
Phone
(636) 265-1116

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 Primary

Addresses

Primary practice location

910 Bent Oak CT
Lake Saint Louis, MO 63367-1473

Mailing address

910 Bent Oak CT
Lake Saint Louis, MO 63367-1473
Phone (636) 265-1116

National Provider Directory

National Provider Directory

Locations

11118 Veterans Memorial Pkwy
Lake St Louis, MO 63367
Phone (636) 265-1116

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1632873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735862400000",
    "number": "1154093151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 BENT OAK CT",
            "city": "LAKE SAINT LOUIS",
            "state": "MO",
            "postal_code": "633671473",
            "telephone_number": "636-265-1116",
            "fax_number": "866-519-5622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 BENT OAK CT",
            "city": "LAKE SAINT LOUIS",
            "state": "MO",
            "postal_code": "633671473",
            "telephone_number": "636-265-1116",
            "fax_number": "866-519-5622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE SAINT LOUIS CHIROPRACTIC AND REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-29",
        "last_updated": "2025-01-03",
        "certification_date": "2025-01-03",
        "status": "A",
        "authorized_official_last_name": "BAXTER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "636-265-1116"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2025; 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.