370 Chiropractic and Rehabilitation PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2001000493 Issued in MO

Legal business name

370 CHIROPRACTIC AND REHABILITATION PC

Practice address

3737 Elm St
Saint Charles, MO 63301-4345

Phone

(636) 925-3933

Fax

(636) 925-8338

NPI assigned

Jun 25, 2009

Last updated

Jun 25, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Cynthia Lynn Tichacek, ND, DCNPI 1790807360

Title

Owner/President

Phone

(636) 925-3933

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Cynthia Lynn Tichacek, LPN, ND, DC

  • Chiropractor
  • Saint Charles, MO
  • NPI 1790807360
  Authorized official Same address or phone

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

{
    "created_epoch": "1245888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245888000000",
    "number": "1407084775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3737 ELM ST",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633014345",
            "telephone_number": "636-925-3933",
            "fax_number": "636-925-8338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3737 ELM ST",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633014345",
            "telephone_number": "636-925-3933",
            "fax_number": "636-925-8338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "370 CHIROPRACTIC AND REHABILITATION PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-25",
        "last_updated": "2009-06-25",
        "status": "A",
        "authorized_official_last_name": "TICHACEK",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "636-925-3933",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ND, DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2001000493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• A B Chiropractic Family & Wellness, LLC
• A New Perspective LLC
• A Plus in-Home Wellness LLC

• Chiropractor in Saint Charles, MO
• Providers in Saint Charles, MO by specialty
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2009; 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.