Active NPI
CT Partners of Chesterfield, LLC
- Radiology Clinic/Center
- Chesterfield, MO
National Provider Identifier
1164647657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiology Clinic/Center
- License
- LC0717282
- Legal business name
- CT PARTNERS OF CHESTERFIELD, LLC
- Practice address
- 14825 North Outer Forty Rd.
Ste 110
Chesterfield, MO 63017-2026 - Phone
- (636) 449-3990
- Fax
- (636) 449-3997
- NPI assigned
- Apr 17, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Dawn G Stewart, RT (R)(MR)
- Title
- Clinical Director
- Phone
- (636) 449-3990
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiology Clinic/Center | 261QR0200X | LC0717282 | MO | Primary |
Addresses
Primary practice location
14825 North Outer Forty Rd.
Ste 110
Chesterfield, MO 63017-2026
Mailing address
14825 North Outer Forty Rd.
Ste 110
Chesterfield, MO 63017-2026
Phone (636) 449-3990
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176768000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1335225600000",
"number": "1164647657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14825 NORTH OUTER FORTY RD.",
"address_2": "STE 110",
"city": "CHESTERFIELD",
"state": "MO",
"postal_code": "630172026",
"telephone_number": "636-449-3990",
"fax_number": "636-449-3997"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14825 NORTH OUTER FORTY RD.",
"address_2": "STE 110",
"city": "CHESTERFIELD",
"state": "MO",
"postal_code": "630172026",
"telephone_number": "636-449-3990",
"fax_number": "636-449-3997"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CT PARTNERS OF CHESTERFIELD, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-17",
"last_updated": "2012-04-24",
"status": "A",
"authorized_official_last_name": "STEWART",
"authorized_official_first_name": "DAWN",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "CLINICAL DIRECTOR",
"authorized_official_telephone_number": "636-449-3990",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "RT (R)(MR)"
},
"taxonomies": [
{
"code": "261QR0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Radiology",
"state": "MO",
"license": "LC0717282",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chesterfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.