Florissant Injury and Pain Relief

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

006752 Issued in MO

Legal business name

FLORISSANT INJURY AND PAIN RELIEF

Practice address

1375 S Lafayette St
Florissant, MO 63031-7907

Phone

(314) 839-6520

Fax

(314) 839-0496

NPI assigned

Sep 3, 2010

Organization subpart

No

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

Authorized official

Name

Dr. William A Straughn III, D.C.

Title

Owner

Phone

(314) 839-6520

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1283472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328227200000",
    "number": "1154638757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1375 S LAFAYETTE ST",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630317907",
            "telephone_number": "314-839-6520",
            "fax_number": "314-839-0496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1375 S LAFAYETTE ST",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630317907",
            "telephone_number": "314-839-6520",
            "fax_number": "314-839-0496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORISSANT INJURY AND PAIN RELIEF",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-03",
        "last_updated": "2012-02-03",
        "status": "A",
        "authorized_official_last_name": "STRAUGHN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-839-6520",
        "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": "006752",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "126038",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Florida Home Health & Therapy
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• Florissant Dental Care-Ronald K Greif, DDS-Samir Ruvinov, DDS, LLC
• Florissant Healthcare, LLC
• Florissant Medical Investors LLC
• Florissant Medical Rehab Group LLC
• Florissant Pediatrics Inc
• Florissant Psychological Services, Inc.
• Florissant Retirement Investors, LLC

• All providers in Florissant, MO
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2012; 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.