Organization Active NPI

Hartman Chiropractic Centre P C

  • Chiropractor
  • Saint Louis, MO
National Provider Identifier
1437294899
Registry record updated Jul 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CE005768 Issued in MO
Legal business name
HARTMAN CHIROPRACTIC CENTRE P C
Practice address
1415 S Big Bend Blvd
Saint Louis, MO 63117-2203
Phone
(314) 644-3202
Fax
(314) 644-6173
NPI assigned
Feb 21, 2007
Last updated
Jul 14, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2009

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

Authorized official

Name
Michael C Hartman, DCNPI 1801071642
Title
Owner
Phone
(314) 644-3202

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: 193200000X MULTI-SPECIALTY GROUP 111N00000X CE005768 MO Primary

Addresses

Primary practice location

1415 S Big Bend Blvd
Saint Louis, MO 63117-2203

Mailing address

1415 S Big Bend Blvd
Saint Louis, MO 63117-2203
Phone (314) 644-3202

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090714000429 MO Part B Supplier - Clinic/Group Practice 4082633813 Receives reassigned benefits from 1 practitioner
Practice locations: St Louis, MO

National Provider Directory

National Provider Directory

Locations

1415 S Big Bend Blvd
Saint Louis, MO 63117
Phone (314) 644-3202

7700 Clayton Rd
Ste 301
Saint Louis, MO 63117
Phone (314) 341-7232

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247529600000",
    "number": "1437294899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 S BIG BEND BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631172203",
            "telephone_number": "314-644-3202",
            "fax_number": "314-644-6173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 S BIG BEND BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631172203",
            "telephone_number": "314-644-3202",
            "fax_number": "314-644-6173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARTMAN CHIROPRACTIC CENTRE P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2009-07-14",
        "status": "A",
        "authorized_official_last_name": "HARTMAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-644-3202",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "CE005768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2009; 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.