Organization Active NPI

Cranwell Chiropractic

  • Chiropractor
  • Saint Louis, MO
National Provider Identifier
1194909887
Registry record updated Feb 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
03791 Issued in MO
Legal business name
CRANWELL CHIROPRACTIC
Practice address
11705 Gravois Rd
Saint Louis, MO 63127-1803
Phone
(314) 843-3039
Fax
(314) 843-9604
NPI assigned
Dec 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2008

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

Authorized official

Name
Mr. Richard Wayne Cranwell, D.C.
Title
Owner
Phone
(314) 843-3039

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 03791 MO Primary

Addresses

Primary practice location

11705 Gravois Rd
Saint Louis, MO 63127-1803

Mailing address

11705 Gravois Rd
Saint Louis, MO 63127-1803
Phone (314) 843-3039

National Provider Directory

National Provider Directory

Locations

11705 Gravois Rd
Sappington, MO 63127
Phone (314) 843-3039

NPI Registry JSON

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

{
    "created_epoch": "1197936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201824000000",
    "number": "1194909887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11705 GRAVOIS RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631271803",
            "telephone_number": "314-843-3039",
            "fax_number": "314-843-9604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11705 GRAVOIS RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631271803",
            "telephone_number": "314-843-3039",
            "fax_number": "314-843-9604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRANWELL CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-18",
        "last_updated": "2008-02-01",
        "status": "A",
        "authorized_official_last_name": "CRANWELL",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-843-3039",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "03791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2008; 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.