Missouri Pain Specialists, LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

MISSOURI PAIN SPECIALISTS, LLC

Practice address

12607 Olive Blvd
Creve Coeur, MO 63141

Phone

(314) 327-8070

Fax

(314) 228-1891

NPI assigned

Mar 13, 2017

Last updated

Oct 22, 2018By 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

Mr. William Douglas Kula Cragg, D.C.NPI 1548249626

Title

Owner

Phone

(314) 378-2085

Specialties & licenses 1

Addresses

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.

• William DK Cragg, D.C.

  • Chiropractor
  • Saint Louis, MO
  • NPI 1548249626
  Authorized official Same address or phone

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

{
    "created_epoch": "1489363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540166400000",
    "number": "1437690336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8045 BIG BEND BLVD",
            "address_2": "STE 107",
            "city": "WEBSTER GROVES",
            "state": "MO",
            "postal_code": "63119",
            "telephone_number": "314-961-7181",
            "fax_number": "314-961-6323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12607 OLIVE BLVD",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "63141",
            "telephone_number": "314-327-8070",
            "fax_number": "314-228-1891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSOURI PAIN SPECIALISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-13",
        "last_updated": "2018-10-22",
        "status": "A",
        "authorized_official_last_name": "CRAGG",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "DOUGLAS KULA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-378-2085",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Missouri Imaging Affiliates LLC (Clinical PET of West County)
• Missouri Professional Staffing Service Home Health Inc
• Lauren L Mitchell, PTA
• Modern Vascular of St Louis LLC
• Kathleen M Monzyk, PT
• Rodney Rogers Moody

• Multi-Specialty Clinic/Center in Creve Coeur, MO
• Providers in Creve Coeur, MO by specialty
• Multi-Specialty Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2018; 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.