Direct Connection Chiropractic, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

006702 Issued in MO

Legal business name

DIRECT CONNECTION CHIROPRACTIC, LLC

Practice address

330 Fort Zumwalt SQ
O Fallon, MO 63366-3065

Phone

(636) 379-1112

Fax

(636) 272-5843

NPI assigned

May 8, 2007

Last updated

Aug 22, 2020By 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. Penny L. Richardson, D.C.NPI 1376600650

Title

Owner

Phone

(636) 379-1112

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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.

• Penny Lynn Richardson, D.C.

  • Chiropractor
  • O'Fallon, MO
  • NPI 1376600650
  Authorized official Same address or phone
• Sherilyn Mattarocci Haug, D.C., PTA

  • Physical Therapy Assistant
  • Saint Peters, MO
  • NPI 1447550389

  Chiropractor

  NPD (past)
• Jaclyn L Hoelscher, DC

  • Chiropractor
  • Weldon Spring, MO
  • NPI 1467587667
  NPD (past)

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306059084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 FORT ZUMWALT SQ",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633663065",
            "telephone_number": "636-379-1112",
            "fax_number": "636-272-5843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 FORT ZUMWALT SQ",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633663065",
            "telephone_number": "636-379-1112",
            "fax_number": "636-272-5843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIRECT CONNECTION CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "PENNY",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "636-379-1112",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "006702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth Dildine Jr., ATC, LAT
• Bridget Dimercurio, OTR/L
• Christopher Thomas Dimza, MD
• Ralph Thomas Dinges, DMD
• McKayla M Dinwiddie, MD
• Dylan Thomas Dix, DC
• Tuyet K Doan, O.D.
• Amanda Dobbs, M.H.S., CCC-SLP
• Colin Christopher Dolan, MD
• Mark Jeffrey Dolson, DDS,PC

• Chiropractor in O'Fallon, MO
• Providers in O'Fallon, MO by specialty
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.