Individual provider Active NPI

Sarah Paunicka, DC

  • Chiropractor
  • Florissant, MO
National Provider Identifier
1346865847
Registry record updated Jun 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2020015815 Issued in MO
Practice address
580 N Highway 67 St Ste 5
Florissant, MO 63031-5130
Phone
(314) 524-2580
Fax
(314) 524-2596
NPI assigned
Jun 10, 2020
Last updated
Jun 10, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2020015815 MO Primary

Addresses

Primary practice location

580 N Highway 67 St Ste 5
Florissant, MO 63031-5130

Mailing address

580 N Highway 67 St Ste 5
Florissant, MO 63031-5130
Phone (314) 524-2580

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200716002124 MO Practitioner - Chiropractic 8123442613 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2020
Medicare assignment
May accept Medicare assignment
Group practices
Robyn L Lawrence DC PCGroup PAC ID 5799929527, 2 clinicians

Practice addresses (Care Compare)

580 N Hwy 67 St 5
Get Well Family Chiropractic
Florissant, MO 63031-5130
Phone (314) 524-2580

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2020015815MOMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Robyn L. Lawrence DC, PC Chiropractor CurrentSince Jun 11, 2020 Accepting new patients

Locations

580 N Highway 67 St
Ste 5
Florissant, MO 63031
Phone (314) 524-2580

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1591747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591747200000",
    "number": "1346865847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "580 N HIGHWAY 67 ST STE 5",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630315130",
            "telephone_number": "314-524-2580",
            "fax_number": "314-524-2596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 N HIGHWAY 67 ST STE 5",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630315130",
            "telephone_number": "314-524-2580",
            "fax_number": "314-524-2596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAUNICKA",
        "first_name": "SARAH",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-10",
        "last_updated": "2020-06-10",
        "certification_date": "2020-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2020015815",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jun 10, 2020; 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.