NPIMap

Organization Active NPI

Freedom Chiropractic

  • Home Health Agency
  • Saint Louis, MO
National Provider Identifier
1265892913
Registry record updated Feb 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
2015028621 Issued in MO
Legal business name
FREEDOM CHIROPRACTIC
Practice address
5675 Waterman Blvd
Apt 11
Saint Louis, MO 63112-1815
Phone
(703) 231-4609
NPI assigned
Feb 23, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2016

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

Authorized official

Name
Dr. Robet Kelly, DC
Title
Owner
Phone
(703) 231-4609

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 2015028621 MO Primary

Addresses

Primary practice location

5675 Waterman Blvd
Apt 11
Saint Louis, MO 63112-1815

Mailing address

5675 Waterman Blvd
Apt 11
Saint Louis, MO 63112-1815

National Provider Directory

National Provider Directory
Tax ID family
Freedom Chiropractic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1456185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456185600000",
    "number": "1265892913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5675 WATERMAN BLVD",
            "address_2": "APT 11",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631121815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5675 WATERMAN BLVD",
            "address_2": "APT 11",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631121815",
            "telephone_number": "703-231-4609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEDOM CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-23",
        "last_updated": "2016-02-23",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "ROBET",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-231-4609",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MO",
            "license": "2015028621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2016; 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.