Organization Active NPI

St. Louis Laser LLC

  • Chiropractor
  • Creve Coeur, MO
National Provider Identifier
1194041889
Registry record updated Apr 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
MO005286 Issued in MO
Legal business name
ST. LOUIS LASER LLC
Practice address
763 S New Ballas Rd
Suite 230
Creve Coeur, MO 63141-8704
Phone
(314) 681-2800
Fax
(314) 432-5088
NPI assigned
Apr 20, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2010

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

Authorized official

Name
Dr. Scott Frank Hainz, DC
Title
Owner/Physician
Phone
(314) 378-6071

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X MO005286 MO Primary

Addresses

Primary practice location

763 S New Ballas Rd
Suite 230
Creve Coeur, MO 63141-8704

Mailing address

16412 Green Pines Dr
Ballwin, MO 63011-1850
Phone (314) 681-2800

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1271721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271721600000",
    "number": "1194041889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16412 GREEN PINES DR",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630111850",
            "telephone_number": "314-681-2800",
            "fax_number": "314-432-5088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "763 S NEW BALLAS RD",
            "address_2": "SUITE 230",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631418704",
            "telephone_number": "314-681-2800",
            "fax_number": "314-432-5088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. LOUIS LASER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-20",
        "last_updated": "2010-04-20",
        "status": "A",
        "authorized_official_last_name": "HAINZ",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "FRANK",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "314-378-6071",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "MO005286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Creve Coeur, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2010; 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.