Organization Active NPI

Committed to Health Chiropractic Center, LLC

  • Chiropractor
  • Creve Coeur, MO
National Provider Identifier
1386763696
Registry record updated Jul 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2005013007 Issued in MO
Legal business name
COMMITTED TO HEALTH CHIROPRACTIC CENTER, LLC
Doing business as
Committed to Health
Practice address
13035 Olive Blvd
Suite 216
Creve Coeur, MO 63141-6173
Phone
(314) 542-2003
Fax
(314) 542-2007
NPI assigned
Mar 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2008

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

Authorized official

Name
Dr. Paul B Hyland, D. C.NPI 1154306066
Title
President
Phone
(314) 542-2003

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2005013007 MO Primary

Addresses

Primary practice location

13035 Olive Blvd
Suite 216
Creve Coeur, MO 63141-6173

Mailing address

13035 Olive Blvd
Suite 216
Creve Coeur, MO 63141-6173
Phone (314) 542-2003

Other identifiers 4

IdentifierTypeStateIssuer
201465OtherBCBS
1061750-00OtherASH
1154306066OtherMOINDIVIDUAL NPI #
681081OtherACN

Other names 1

  • Committed to Health Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070601000109 MO Part B Supplier - Clinic/Group Practice 3678671468 Receives reassigned benefits from 2 practitioners
Practice locations: Creve Coeur, MO

National Provider Directory

National Provider Directory

Locations

13035 Olive Blvd
Ste 216
Saint Louis, MO 63141
Phone (314) 542-2003

1215 Fern Ridge Pkwy
Ste 204
Saint Louis, MO 63141
Phone (314) 542-2003

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214956800000",
    "number": "1386763696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13035 OLIVE BLVD",
            "address_2": "SUITE 216",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631416173",
            "telephone_number": "314-542-2003",
            "fax_number": "314-542-2007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13035 OLIVE BLVD",
            "address_2": "SUITE 216",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631416173",
            "telephone_number": "314-542-2003",
            "fax_number": "314-542-2007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMITTED TO HEALTH CHIROPRACTIC CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2008-07-02",
        "status": "A",
        "authorized_official_last_name": "HYLAND",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-542-2003",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D. C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2005013007",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "201465",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASH",
            "identifier": "1061750-00",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI #",
            "identifier": "1154306066",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACN",
            "identifier": "681081",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Committed to Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Creve Coeur, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.