Individual provider Active NPI

William Arvil Straughn III, DC

  • Chiropractor
  • Florissant, MO
National Provider Identifier
1336259563
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
006752 Issued in MO
Practice address
1005 Dunn Rd
Lower Level
Florissant, MO 63031-8205
Phone
(314) 839-6520
Fax
(314) 839-0496
NPI assigned
Aug 30, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 006752 MO Primary

Addresses

Primary practice location

1005 Dunn Rd
Lower Level
Florissant, MO 63031-8205

Mailing address

1005 Dunn Rd
Lower Level
Florissant, MO 63031-8205
Phone (314) 839-6520

Other identifiers 1

IdentifierTypeStateIssuer
126038OtherMOBC/BS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111219000026 MO Practitioner - Chiropractic 0446425540 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Esquire Clinic Inc.Group PAC ID 7214077742, 2 clinicians

Practice addresses (Care Compare)

1201 S Big Bend Blvd
Saint Louis, MO 63117-1645
Phone (314) 644-0885

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Jenny L Wiemann DCPC Chiropractor CurrentSince Oct 30, 2023 Accepting new patients

Locations

331 Jungermann Rd
Ste A
Saint Peters, MO 63376
Phone (636) 928-5588

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336259563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 DUNN RD",
            "address_2": "LOWER LEVEL",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630318205",
            "telephone_number": "314-839-6520",
            "fax_number": "314-839-0496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 DUNN RD",
            "address_2": "LOWER LEVEL",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630318205",
            "telephone_number": "314-839-6520",
            "fax_number": "314-839-0496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRAUGHN",
        "first_name": "WILLIAM",
        "middle_name": "ARVIL",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "006752",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "126038",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Florissant, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.