NPIMap

Organization Active NPI

Clayton Chiropractic Medicine Inc

Doing business as Clayton Physical Medicine

  • Chiropractor
  • Saint Louis, MO
National Provider Identifier
1295170561
Registry record updated Jun 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5509 Issued in MO
Legal business name
CLAYTON CHIROPRACTIC MEDICINE INC
Doing business as
Clayton Physical Medicine
Practice address
1099 Milwaukee St
Suite 240
Saint Louis, MO 63122-7356
Phone
(314) 822-1502
NPI assigned
May 1, 2013
Last updated
Jun 10, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2013

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

Authorized official

Name
Clayton D Skaggs, DCNPI 1770782757
Title
Owner
Phone
(314) 822-1502

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 5509 MO Primary

Addresses

Primary practice location

1099 Milwaukee St
Suite 240
Saint Louis, MO 63122-7356

Mailing address

1099 Milwaukee St
Suite 240
Saint Louis, MO 63122-7356

Other names 1

  • Clayton Physical Medicine Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1367366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370822400000",
    "number": "1295170561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1099 MILWAUKEE ST",
            "address_2": "SUITE 240",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631227356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1099 MILWAUKEE ST",
            "address_2": "SUITE 240",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631227356",
            "telephone_number": "314-822-1502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLAYTON CHIROPRACTIC MEDICINE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-01",
        "last_updated": "2013-06-10",
        "status": "A",
        "authorized_official_last_name": "SKAGGS",
        "authorized_official_first_name": "CLAYTON",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-822-1502",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "5509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clayton Physical Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 10, 2013; 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.