City Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2012040930 Issued in MO

Legal business name

CITY CHIROPRACTIC LLC

Practice address

2618 Hampton Ave
Saint Louis, MO 63139-2913

Phone

(314) 932-1228

NPI assigned

Apr 10, 2017

Organization subpart

No

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

Authorized official

Name

Brady Williams, DCNPI 1821140112

Title

Owner

Phone

(314) 932-1228

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

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

• Brady Ronald Williams, DC

  • Chiropractor
  • Columbia, IL
  • NPI 1821140112

  MO

  Medicare reassignment NPD Authorized official
• Kimberly Faye Williams, DC

  • Chiropractor
  • Columbia, IL
  • NPI 1063478980
  NPD

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

{
    "created_epoch": "1491782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491782400000",
    "number": "1366975005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2618 HAMPTON AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631392913",
            "telephone_number": "314-932-1228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2618 HAMPTON AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631392913",
            "telephone_number": "314-932-1228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-10",
        "last_updated": "2017-04-10",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "BRADY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-932-1228",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2012040930",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1821140112",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anthony Cissi
• Citrin Chiropractic Center PC
• Jeffrey H Citrin, DC
• Giordano Fabricio Cittolin Santos, MD PHD
• City Cares CDS LLC
• City Diagnostics LLC
• City of Crestwood
• City of St Louis
• City of St Louis
• City of St. Louis

• 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 Apr 10, 2017; 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.