Chiropractic Specialist,LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2004014211 Issued in MO

Legal business name

CHIROPRACTIC SPECIALIST,LLC

Practice address

3533 Dunn Rd
Suite 210
Florissant, MO 63033-6761

Phone

(636) 236-5126

NPI assigned

Dec 6, 2011

Organization subpart

No

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

Authorized official

Name

Adeola Adedokun, D.C

Title

Chiropractor/Owner

Phone

(636) 236-5126

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1323129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323129600000",
    "number": "1326316225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3533 DUNN RD",
            "address_2": "SUITE 210",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630336761",
            "telephone_number": "636-236-5126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3533 DUNN RD",
            "address_2": "SUITE 210",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630336761",
            "telephone_number": "636-236-5126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC SPECIALIST,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-06",
        "last_updated": "2011-12-06",
        "status": "A",
        "authorized_official_last_name": "ADEDOKUN",
        "authorized_official_first_name": "ADEOLA",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "636-236-5126",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2004014211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Florissant, MO
• Providers in Florissant, MO by specialty
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2011; 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.