John Deangelis LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2009002883 Issued in MO

Legal business name

JOHN DEANGELIS LLC

Practice address

1000 Lake Saint Louis Blvd
Suite 100
Lake Saint Louis, MO 63367-1340

Phone

(636) 695-4570

Fax

(636) 625-4554

NPI assigned

Sep 22, 2009

Last updated

Jan 12, 2010By 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

John Nicholas Deangelis, D.C.NPI 1649413410

Title

Chiropractor

Phone

(330) 219-6557

Specialties & licenses 1

Addresses

Locations

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.

• John Nicholas Deangelis, D.C.

  • Chiropractor
  • Chesterfield, MO
  • NPI 1649413410
  Authorized official Same address or phone

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

{
    "created_epoch": "1253577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263254400000",
    "number": "1306170501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 LAKE SAINT BLVD",
            "address_2": "SUITE 100",
            "city": "LAKE SAINT LOUIS",
            "state": "MO",
            "postal_code": "633671340",
            "telephone_number": "636-695-4570",
            "fax_number": "636-625-4554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 LAKE SAINT LOUIS BLVD",
            "address_2": "SUITE 100",
            "city": "LAKE SAINT LOUIS",
            "state": "MO",
            "postal_code": "633671340",
            "telephone_number": "636-695-4570",
            "fax_number": "636-625-4554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN DEANGELIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-22",
        "last_updated": "2010-01-12",
        "status": "A",
        "authorized_official_last_name": "DEANGELIS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "NICHOLAS",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "330-219-6557",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2009002883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Ann Hotfelder, MPT
• Eric Christopher Huckstep
• Laura Gottman James, OTR/L
• Denise Marie Jasso, OTR
• Jerry Waggoner LPC L.L.C.
• Braden Johnson, DPT
• Casey O'Donnell Jones, LPC
• Jessica Ann Kalinowsky, RN, BSN, IBCLC
• Caitlin O'Connor Kasberg, MA
• Nancy Keetch, RD, LD

• Chiropractor in Lake Saint Louis, MO
• Providers in Lake Saint Louis, MO by specialty
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2010; 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.