Organization Active NPI

Citrin Chiropractic Center PC

  • Chiropractor
  • St Louis, MO
National Provider Identifier
1467564781
Registry record updated Feb 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
004163 Issued in MO
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

Updated by the provider on Feb 26, 2020

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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
132037OtherMOBLUE CROSS GROUP
157640OtherMOANTHEM

Other names 1

  • Citrin Chiropractic Center INC Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.