Thrive for Life Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2011012320 Issued in MO

Legal business name

THRIVE FOR LIFE CHIROPRACTIC LLC

Practice address

729 Old Frontenac SQ
Frontenac, MO 63131-2745

Phone

(314) 395-4934

NPI assigned

Jun 16, 2014

Last updated

Jun 16, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Matt Smith, D.C.

Title

Chiropractic Physician

Phone

(314) 395-4934

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1402876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402876800000",
    "number": "1295149482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "729 OLD FRONTENAC SQ",
            "city": "FRONTENAC",
            "state": "MO",
            "postal_code": "631312745",
            "telephone_number": "314-395-4934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "729 OLD FRONTENAC SQ",
            "city": "FRONTENAC",
            "state": "MO",
            "postal_code": "631312745",
            "telephone_number": "314-395-4934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THRIVE FOR LIFE CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-16",
        "last_updated": "2014-06-16",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "MATT",
        "authorized_official_title_or_position": "CHIROPRACTIC PHYSICIAN",
        "authorized_official_telephone_number": "314-395-4934",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2011012320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ann Sudekum, M.D.
• Joseph Sudekum, M.D.
• Brian Sylve, DC
• Molly J Szweda, LPC,NCC
• Christine Ann Taylor, P. T.
• Thomas J Ward, DDS

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2014; 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.