Individual provider Active NPI

Crystal B Peairs, D.C.

  • Chiropractor
  • Saint Louis, MO
National Provider Identifier
1467407304
Registry record updated Dec 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2004024604 Issued in MO
Practice address
1013 S 18TH St
Saint Louis, MO 63104-2909
Phone
(314) 436-3050
NPI assigned
May 22, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2004024604 MO Primary

Addresses

Primary practice location

1013 S 18TH St
Saint Louis, MO 63104-2909

Mailing address

1013 S 18TH St
Saint Louis, MO 63104-2909
Phone (314) 436-3050

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050129000177 MO Practitioner - Chiropractic 1153371869 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2004024604MOMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Atrium Health Services Chiropractor PastSince Sep 23, 2021 Accepting new patients
Joseph F. Unger, Jr., D.C., a Professional Corporation Chiropractor PastSince Dec 31, 1991 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734739200000",
    "number": "1467407304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1013 S 18TH ST",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631042909",
            "telephone_number": "314-436-3050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1013 S 18TH ST",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631042909",
            "telephone_number": "314-436-3050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEAIRS",
        "first_name": "CRYSTAL",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-22",
        "last_updated": "2024-12-21",
        "certification_date": "2024-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2004024604",
            "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 Dec 21, 2024; 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.