Crossroads Family Chiropractic, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2009001513 Issued in MO

Legal business name

CROSSROADS FAMILY CHIROPRACTIC, LLC

Practice address

12324 Olive Blvd
Creve Coeur, MO 63141-6443

Phone

(314) 439-0777

Fax

(314) 439-0166

NPI assigned

Apr 20, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Abbe Michelle Keen, D.C.

Title

Manager

Phone

(314) 740-7421

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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

• Robert Eugene Elder, D.C.

  • Chiropractor
  • Creve Coeur, MO
  • NPI 1487723425
  NPD (past)
• Jacob Hedges Utterback, D.C.

  • Chiropractor
  • Kirkwood, MO
  • NPI 1730228248
  NPD (past)
• Jared Eugene Vananne, D.C.

  • Chiropractor
  • Creve Coeur, MO
  • NPI 1477788602
  NPD (past)

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

{
    "created_epoch": "1240185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279584000000",
    "number": "1356584460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12324 OLIVE BLVD",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631416443",
            "telephone_number": "314-439-0777",
            "fax_number": "314-439-0166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12324 OLIVE BLVD",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631416443",
            "telephone_number": "314-439-0777",
            "fax_number": "314-439-0166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSROADS FAMILY CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-20",
        "last_updated": "2010-07-20",
        "status": "A",
        "authorized_official_last_name": "KEEN",
        "authorized_official_first_name": "ABBE",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "314-740-7421",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2009001513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Creve Coeur Internal Medicine, LLC
• Creve Coeur Periodontics, Inc.
• Creve Coeur Surgery Center LLC
• Creve Coeur Surgery Center, LLC
• Gail Christine Crofton, R.D., L.D., CDE
• Chandler Alexander Croutch
• Crown Hospice of St. Louis, Inc.
• Theresa Marie Curdt, OTR
• Megan Cussen
• Joanne Cvijic, PA-C

• Chiropractor in Creve Coeur, MO
• Providers in Creve Coeur, MO by specialty
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2010; 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.