Active NPI
MJB Fitness
- Chiropractor
- Saint Charles, MO
National Provider Identifier
1306603501
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- MJB FITNESS
- Practice address
- 1398 S 5TH St
Saint Charles, MO 63301-2444 - Phone
- (636) 947-4042
- NPI assigned
- Mar 4, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Michael Bucher, DC
- Title
- Owner Chiropractor
- Phone
- (636) 262-2032
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | Primary |
Addresses
Primary practice location
1398 S 5TH St
Saint Charles, MO 63301-2444
Mailing address
12319 Worthington Dr
Saint Louis, MO 63128-2224
Phone (636) 262-2032
Other names 1
- Phoenix Chiropractic
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Saint Louis, MO
- NPI 1699359349
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1709510400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1715126400000",
"number": "1306603501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12319 WORTHINGTON DR",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631282224",
"telephone_number": "636-262-2032"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1398 S 5TH ST",
"city": "SAINT CHARLES",
"state": "MO",
"postal_code": "633012444",
"telephone_number": "636-947-4042"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MJB FITNESS",
"organizational_subpart": "NO",
"enumeration_date": "2024-03-04",
"last_updated": "2024-05-08",
"certification_date": "2024-05-08",
"status": "A",
"authorized_official_last_name": "BUCHER",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "OWNER CHIROPRACTOR",
"authorized_official_telephone_number": "636-262-2032",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Phoenix Chiropractic",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Phoenix Chiropractic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Saint Charles, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.