St. E Chiropractic and Rehab, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

ST. E CHIROPRACTIC AND REHAB, LLC

Practice address

1 Elizabeth PL
Suite 280
Dayton, OH 45417-3445

Phone

(937) 974-8879

Fax

(937) 660-4066

NPI assigned

Apr 21, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Robert Grant Goodwin, D.C.

Title

Clinical Director

Phone

(937) 974-8879

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1461196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482364800000",
    "number": "1275987646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 ELIZABETH PL",
            "address_2": "SUITE 280",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454173445",
            "telephone_number": "937-974-8879",
            "fax_number": "937-660-4066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 ELIZABETH PL",
            "address_2": "SUITE 280",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454173445",
            "telephone_number": "937-974-8879",
            "fax_number": "937-660-4066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. E CHIROPRACTIC AND REHAB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-21",
        "last_updated": "2016-12-22",
        "status": "A",
        "authorized_official_last_name": "GOODWIN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "GRANT",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "937-974-8879",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary F Sroga, CRNP
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• Katrina St. Clair, CYTOTECHNOLOGIST
• St. Elizabeth Pain and Injury LLC
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• Jessica St. John, CNP
• Tia St. John
• Brittany Staarmann, MD

• Chiropractor in Dayton, OH
• Providers in Dayton, OH by specialty
• Chiropractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 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.