Institute for Regenerative Meidicine LLC

Primary specialty

Sports Medicine (Neuromusculoskeletal Medicine) PhysicianTaxonomy code 204C00000X

Legal business name

INSTITUTE FOR REGENERATIVE MEIDICINE LLC

Practice address

7721 Clayton Rd
Clayton, MO 63117-1301

Phone

(314) 546-6072

Fax

(888) 569-4961

NPI assigned

Aug 17, 2018

Organization subpart

No

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

Authorized official

Name

Jerry Leech, DCNPI 1730517574

Title

Owner

Phone

(314) 972-3107

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jerry Dale Leech Jr., DC

  • Chiropractor
  • Saint Peters, MO
  • NPI 1730517574
  NPD Authorized official

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

{
    "created_epoch": "1534464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534464000000",
    "number": "1255811337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7721 CLAYTON RD",
            "city": "CLAYTON",
            "state": "MO",
            "postal_code": "631171301",
            "telephone_number": "314-546-6072",
            "fax_number": "888-569-4961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7721 CLAYTON RD",
            "city": "CLAYTON",
            "state": "MO",
            "postal_code": "631171301",
            "telephone_number": "314-546-6072",
            "fax_number": "888-569-4961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSTITUTE FOR REGENERATIVE MEIDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-17",
        "last_updated": "2018-08-17",
        "status": "A",
        "authorized_official_last_name": "LEECH",
        "authorized_official_first_name": "JERRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-972-3107",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "204C00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neuromusculoskeletal Medicine, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yalaka Huyette
• Caitlyn Marie Hyde
• Sonya Bellomy Iliff, LPC
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• Michelle M Ingram, MA CCC/SLP
• Institute of Personalized Medicine LLC
• Iowa Home Healthcare Services LLC
• Ernest W Jackson, DDS
• Kezia Jackson, PSY.D.
• Robert Marion Jarrett, DDS

• Sports Medicine (Neuromusculoskeletal Medicine) Physician in Clayton, MO
• Providers in Clayton, MO by specialty
• Sports Medicine (Neuromusculoskeletal Medicine) Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2018; 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.