Organization Active NPI

North County Doctors Group LLC

  • Chiropractor
  • Florissant, MO
National Provider Identifier
1255512588
Registry record updated Aug 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
004435 Issued in MO
Legal business name
NORTH COUNTY DOCTORS GROUP LLC
Practice address
629 St Francois
Florissant, MO 63031-4919
Phone
(314) 839-4646
Fax
(314) 839-0373
NPI assigned
Nov 15, 2007
Last updated
Aug 26, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2021

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

Authorized official

Name
Dr. William Van Nessing, D.C.NPI 1407890148
Title
Owner
Phone
(314) 839-4646

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
Chiropractor 111N00000X 004435 MO Primary

Addresses

Primary practice location

629 St Francois
Florissant, MO 63031-4919

Mailing address

629 St Francois
Florissant, MO 63031-4919
Phone (314) 839-4646

National Provider Directory

National Provider Directory

Locations

629 Rue Saint Francois St
Florissant, MO 63031
Phone (314) 839-4646

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": "1195084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629936000000",
    "number": "1255512588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "629 ST FRANCOIS",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630314919",
            "telephone_number": "314-839-4646",
            "fax_number": "314-839-0373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "629 ST FRANCOIS",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630314919",
            "telephone_number": "314-839-4646",
            "fax_number": "314-839-0373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH COUNTY DOCTORS GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-15",
        "last_updated": "2021-08-26",
        "certification_date": "2021-08-26",
        "status": "A",
        "authorized_official_last_name": "NESSING",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "VAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-839-4646",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "004435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florissant, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2021; 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.