NPIMap

Organization Active NPI

Scoliosis Specialists of St. Louis LLC

  • Chiropractor
  • Eureka, MO
National Provider Identifier
1235429218
Registry record updated Apr 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
006495 Issued in MO
Legal business name
SCOLIOSIS SPECIALISTS OF ST. LOUIS LLC
Practice address
113 W 5TH St
Eureka, MO 63025-1109
Phone
(636) 938-3204
Fax
(636) 938-3204
NPI assigned
Apr 12, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2011

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

Authorized official

Name
Dr. Patrick D Feder, DC
Title
Owner
Phone
(636) 938-3204

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 006495 MO Primary

Addresses

Primary practice location

113 W 5TH St
Eureka, MO 63025-1109

Mailing address

113 W 5TH St
Eureka, MO 63025-1109
Phone (636) 938-3204

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1302566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302566400000",
    "number": "1235429218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 W 5TH ST",
            "city": "EUREKA",
            "state": "MO",
            "postal_code": "630251109",
            "telephone_number": "636-938-3204",
            "fax_number": "636-938-3204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 W 5TH ST",
            "city": "EUREKA",
            "state": "MO",
            "postal_code": "630251109",
            "telephone_number": "636-938-3204",
            "fax_number": "636-938-3204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOLIOSIS SPECIALISTS OF ST. LOUIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-12",
        "last_updated": "2011-04-12",
        "status": "A",
        "authorized_official_last_name": "FEDER",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "636-938-3204",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "006495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eureka, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2011; 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.