Chiropractic Wellness Center

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2016025032 Issued in MO

Legal business name

CHIROPRACTIC WELLNESS CENTER

Practice address

1747 Smizer Station Rd
Fenton, MO 63026-2784

Phone

(636) 825-6555

NPI assigned

Aug 20, 2016

Last updated

Aug 20, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lorie Lofquist, D.C

Title

Owner Chiropractic Physician

Phone

(636) 825-6555

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1471651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471651200000",
    "number": "1346795234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1747 SMIZER STATION RD",
            "city": "FENTON",
            "state": "MO",
            "postal_code": "630262784",
            "telephone_number": "636-825-6555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1747 SMIZER STATION RD",
            "city": "FENTON",
            "state": "MO",
            "postal_code": "630262784",
            "telephone_number": "636-825-6555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-20",
        "last_updated": "2016-08-20",
        "status": "A",
        "authorized_official_last_name": "LOFQUIST",
        "authorized_official_first_name": "LORIE",
        "authorized_official_title_or_position": "OWNER CHIROPRACTIC PHYSICIAN",
        "authorized_official_telephone_number": "636-825-6555",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2016025032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel C Chan
• Sheri Chau, PHARM.D.
• Cherry Tree Nutrition, LLC
• Chiropractic Accident Center of Fenton, P.C.
• Chiropractic Family Wellness Center LLC (Chiropractic Wellness Center)
• Chiropractic Wellness Center of St Louis LLC (Chiropractic Wellness Center of South County)
• Chotchai Srisuro, M.D., Inc.
• Anthony Clark, D.D.S.
• Victor Lee Clark, D.M.D.
• Clarkson Optometry Inc (Clarkson Eyecare)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2016; 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.