North County Pain Relief Center, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

NORTH COUNTY PAIN RELIEF CENTER, LLC

Practice address

7157 N Lindbergh Blvd
Hazelwood, MO 63042-2039

Phone

(314) 731-4201

Fax

(314) 731-4204

NPI assigned

Apr 6, 2011

Organization subpart

No

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

Authorized official

Name

Shane Cummins

Title

Owner

Phone

(314) 731-4201

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1302048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312416000000",
    "number": "1285923607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7157 N LINDBERGH BLVD",
            "city": "HAZELWOOD",
            "state": "MO",
            "postal_code": "630422039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7157 N LINDBERGH BLVD",
            "city": "HAZELWOOD",
            "state": "MO",
            "postal_code": "630422039",
            "telephone_number": "314-731-4201",
            "fax_number": "314-731-4204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH COUNTY PAIN RELIEF CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-06",
        "last_updated": "2011-08-04",
        "status": "A",
        "authorized_official_last_name": "CUMMINS",
        "authorized_official_first_name": "SHANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-731-4201"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nikodem Dental Holdings, Inc. (Nikodem Dental Hazelwood)
• A R Norman, BCBA
• Guilan Norouzi, DDS
• North County Chiropractic & Rehab, LLC
• North County in Home Healthcare LLC
• North County Rehab, D.C., LLC
• North County Sports Fitness & Rehabilitation
• North St. Louis County Chiropractic, LLC (North St. Louis County Chiropractic)
• Northland Hearing Center, Inc. (Southwestern Hearing Center)
• Nothing Like Home Health Services LLC

• Chiropractor in Hazelwood, MO
• Providers in Hazelwood, MO by specialty
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2011; 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.