On Site Chiropractic, PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

005796 Issued in MO

Legal business name

ON SITE CHIROPRACTIC, PC

Doing business as

Clemons Chiropractic

Practice address

1629 N Warson Rd
Saint Louis, MO 63132-1027

Phone

(314) 429-2929

Fax

(314) 429-4331

NPI assigned

Jan 24, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Jeannine M Clemons, DCNPI 1417042896

Title

President

Phone

(314) 429-2929

Specialties & licenses 1

Addresses

Other names 1

• Clemons Chiropractic Doing business as

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeannine M Clemons, DC

  • Chiropractor
  • St Louis, MO
  • NPI 1417042896
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1327363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327363200000",
    "number": "1336410240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1629 N WARSON RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631321027",
            "telephone_number": "314-429-2929",
            "fax_number": "314-429-4331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1629 N WARSON RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631321027",
            "telephone_number": "314-429-2929",
            "fax_number": "314-429-4331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ON SITE CHIROPRACTIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-24",
        "last_updated": "2012-01-24",
        "status": "A",
        "authorized_official_last_name": "CLEMONS",
        "authorized_official_first_name": "JEANNINE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-429-2929",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "005796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clemons Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Chiropractor in Saint Louis, MO
• Providers in 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 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.