NPIMap

Organization Active NPI

Westport Pain Center

  • Chiropractor
  • Maryland Heights, MO
National Provider Identifier
1215067186
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
006415 Issued in MO
Legal business name
WESTPORT PAIN CENTER
Practice address
929 Fee Fee Rd
Suite 100
Maryland Heights, MO 63043-3807
Phone
(314) 469-9843
Fax
(314) 439-5154
NPI assigned
Mar 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Richard S Culligan, D.C.NPI 1134292386
Title
Chiropractor-Direct Owner
Phone
(314) 469-8500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 006415 MO Primary

Addresses

Primary practice location

929 Fee Fee Rd
Suite 100
Maryland Heights, MO 63043-3807

Mailing address

929 Fee Fee Rd
Suite 100
Maryland Heights, MO 63043-3807
Phone (314) 469-9843

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215067186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "929 FEE FEE RD",
            "address_2": "SUITE 100",
            "city": "MARYLAND HEIGHTS",
            "state": "MO",
            "postal_code": "630433807",
            "telephone_number": "314-469-9843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "929 FEE FEE RD",
            "address_2": "SUITE 100",
            "city": "MARYLAND HEIGHTS",
            "state": "MO",
            "postal_code": "630433807",
            "telephone_number": "314-469-9843",
            "fax_number": "314-439-5154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTPORT PAIN CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CULLIGAN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CHIROPRACTOR-DIRECT OWNER",
        "authorized_official_telephone_number": "314-469-8500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "006415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maryland Heights, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.