Spirit of Health Chiropractic Wellness Center, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

2017001877 Issued in MO

Legal business name

SPIRIT OF HEALTH CHIROPRACTIC WELLNESS CENTER, LLC

Doing business as

Spirit Health and Wellness

Practice address

139 Long Rd
Chesterfield, MO 63005-1223

Phone

(636) 896-7400

NPI assigned

Feb 13, 2017

Last updated

Feb 13, 2017By 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

Dr. Brendan Daniel Mahoney, DCNPI 1538608245

Title

Owner

Phone

(636) 893-7400

Specialties & licenses 1

Addresses

Other names 1

• Spirit Health and Wellness Doing business as

Locations

Practitioners 1

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.

• Brendan Mahoney, DC

  • Chiropractor
  • Winter Haven, FL
  • NPI 1538608245
  NPD (past) Authorized official

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

{
    "created_epoch": "1486944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486944000000",
    "number": "1184163933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 LONG RD",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630051223",
            "telephone_number": "636-896-7400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 LONG RD",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630051223",
            "telephone_number": "636-896-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPIRIT OF HEALTH CHIROPRACTIC WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-13",
        "last_updated": "2017-02-13",
        "status": "A",
        "authorized_official_last_name": "MAHONEY",
        "authorized_official_first_name": "BRENDAN",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "636-893-7400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MO",
            "license": "2017001877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spirit Health and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ashley Specter, M.A. CCC-SLP
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• Spinal Decompression Inc
• Spinnakers LLC (North County Diagnostic Labs)
• Spirit Dental, LLC (Jack E. Wolf D.M.D.)
• Andrew C Spitzfaden, M.D.
• Alan R Spivack, MD
• Sports & Family Chiropractic & Acupuncture
• Sports Enhancement Group LLC
• Sports Enhancement Group, LLC

• Clinic/Center in Chesterfield, MO
• Providers in Chesterfield, MO by specialty
• Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2017; 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.