Active NPI
Citrin Chiropractic Center PC
- Chiropractor
- St Louis, MO
National Provider Identifier
1467564781
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 004163
- Legal business name
- CITRIN CHIROPRACTIC CENTER PC
- Practice address
- 10035 Page Ave
St Louis, MO 63132 - Phone
- (314) 890-2400
- Fax
- (314) 890-2410
- NPI assigned
- Aug 31, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Jeffrey H Citrin, D.C.
- Title
- Owner
- Phone
- (314) 890-2400
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 004163 | MO | Primary |
Addresses
Primary practice location
10035 Page Ave
St Louis, MO 63132
Mailing address
10035 Page Ave
St Louis, MO 63132
Phone (314) 890-2400
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 132037 | Other | MO | BLUE CROSS GROUP |
| 157640 | Other | MO | ANTHEM |
Other names 1
- Citrin Chiropractic Center INC
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Saint Louis, MO
- NPI 1437261757
-
- Chiropractor
- San Leandro, CA
- NPI 1760583694
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1582675200000",
"number": "1467564781",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10035 PAGE AVE",
"city": "ST LOUIS",
"state": "MO",
"postal_code": "63132",
"telephone_number": "314-890-2400",
"fax_number": "314-890-2410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10035 PAGE AVE",
"city": "ST LOUIS",
"state": "MO",
"postal_code": "63132",
"telephone_number": "314-890-2400",
"fax_number": "314-890-2410"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CITRIN CHIROPRACTIC CENTER PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-31",
"last_updated": "2020-02-26",
"certification_date": "2020-02-26",
"status": "A",
"authorized_official_last_name": "CITRIN",
"authorized_official_first_name": "JEFFREY",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "314-890-2400",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "MO",
"license": "004163",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS GROUP",
"identifier": "132037",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "157640",
"state": "MO"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Citrin Chiropractic Center INC",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in St Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.