NPIMap

Organization Active NPI

Grogan Chiropractic and Rehabilitation LLC

  • Chiropractor
  • Chesterfield, MO
National Provider Identifier
1376813733
Registry record updated Apr 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2012000016 Issued in MO
Legal business name
GROGAN CHIROPRACTIC AND REHABILITATION LLC
Practice address
936 Chesterfield Pkwy E
Chesterfield, MO 63017-2042
Phone
(636) 537-0564
NPI assigned
Jan 3, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2012

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

Authorized official

Name
Dr. Scott Grogan, D.C.
Title
Chiropractic Physician
Phone
(314) 435-3878

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2012000016 MO Primary

Addresses

Primary practice location

936 Chesterfield Pkwy E
Chesterfield, MO 63017-2042

Mailing address

1325 Prospect Village LN Apt a
Ballwin, MO 63021-5773

National Provider Directory

National Provider Directory

Locations

2520 Highway K
O Fallon, MO 63368
Phone (636) 978-5511

NPI Registry JSON

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

{
    "created_epoch": "1325548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334793600000",
    "number": "1376813733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 PROSPECT VILLAGE LN APT A",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630215773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "936 CHESTERFIELD PKWY E",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630172042",
            "telephone_number": "636-537-0564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROGAN CHIROPRACTIC AND REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-03",
        "last_updated": "2012-04-19",
        "status": "A",
        "authorized_official_last_name": "GROGAN",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "CHIROPRACTIC PHYSICIAN",
        "authorized_official_telephone_number": "314-435-3878",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2012000016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2012; 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.