Active NPI
370 Chiropractic and Rehabilitation PC
- Chiropractor
- St Charles, MO
National Provider Identifier
1255411427
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2000170042
- Legal business name
- 370 CHIROPRACTIC AND REHABILITATION PC
- Practice address
- 3737 Elm Street
St Charles, MO 63301 - Phone
- (636) 925-3933
- Fax
- (636) 925-8338
- NPI assigned
- Oct 16, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jeffrey Myers Erwin, DC
- Title
- President
- Phone
- (636) 925-3933
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2000170042 | MO | Primary |
Addresses
Primary practice location
3737 Elm Street
St Charles, MO 63301
Mailing address
3737 Elm Street
St Charles, MO 63301
Phone (636) 925-3933
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 454667 | Other | MO | HEALTHLINK |
| 139859 | Other | MO | BCBS |
| 7494379 | Other | MO | AETNA |
| U83842 | Other | MO | MERCY |
National Provider Directory
National Provider Directory- Tax ID family
- 370 Chiropractic
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Chiropractor
- Saint Charles, MO
- NPI 1316935398
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160956800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1255411427",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3737 ELM STREET",
"city": "ST CHARLES",
"state": "MO",
"postal_code": "63301",
"telephone_number": "636-925-3933",
"fax_number": "636-925-8338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3737 ELM STREET",
"city": "ST CHARLES",
"state": "MO",
"postal_code": "63301",
"telephone_number": "636-925-3933",
"fax_number": "636-925-8338"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "370 CHIROPRACTIC AND REHABILITATION PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-16",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "ERWIN",
"authorized_official_first_name": "JEFFREY",
"authorized_official_middle_name": "MYERS",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "636-925-3933",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "MO",
"license": "2000170042",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHLINK",
"identifier": "454667",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "139859",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7494379",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MERCY",
"identifier": "U83842",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in St Charles, 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.