Organization Active NPI

MJT Enterprises

  • Other Technician
  • Wentzville, MO
National Provider Identifier
1316470693
Registry record updated Apr 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Other TechnicianTaxonomy code 247200000X
Legal business name
MJT ENTERPRISES
Practice address
1053 S Callahan Rd
Wentzville, MO 63385-4701
Phone
(636) 544-9452
NPI assigned
Apr 4, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2017

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

Authorized official

Name
Michael Thompson
Title
President
Phone
(636) 544-9452

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Other TechnicianGroup: 193400000X SINGLE SPECIALTY GROUP 247200000X Primary

Addresses

Primary practice location

1053 S Callahan Rd
Wentzville, MO 63385-4701

Mailing address

1053 S Callahan Rd
Wentzville, MO 63385-4701
Phone (636) 544-9452

Other names 1

  • Lice Clinics of America St. Charles Doing business as

National Provider Directory

National Provider Directory

Locations

1053 S Callahan Rd
Wentzville, MO 63385
Phone (636) 544-9452

NPI Registry JSON

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

{
    "created_epoch": "1491264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491264000000",
    "number": "1316470693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1053 S CALLAHAN RD",
            "city": "WENTZVILLE",
            "state": "MO",
            "postal_code": "633854701",
            "telephone_number": "636-544-9452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1053 S CALLAHAN RD",
            "city": "WENTZVILLE",
            "state": "MO",
            "postal_code": "633854701",
            "telephone_number": "636-544-9452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MJT ENTERPRISES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-04",
        "last_updated": "2017-04-04",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "636-544-9452"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Other",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lice Clinics of America St. Charles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wentzville, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2017; 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.