Organization Active NPI

Health & Performance Center

  • Rehabilitation Chiropractor
  • Maryland Heights, MO
National Provider Identifier
1467724120
Registry record updated Sep 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
2009011881 Issued in MO
Legal business name
HEALTH & PERFORMANCE CENTER
Practice address
11 Worthington Access Dr Ste D
Maryland Heights, MO 63043-3804
Phone
(314) 628-9898
NPI assigned
Jan 27, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2012

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

Authorized official

Name
Dr. Jared Van Anne, MS, DCNPI 1477788602
Title
Conservative Care Specialist
Phone
(314) 628-9898

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
Rehabilitation ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NR0400X 2009011881 MO Primary

Addresses

Primary practice location

11 Worthington Access Dr Ste D
Maryland Heights, MO 63043-3804

Mailing address

11 Worthington Access Dr Ste D
Maryland Heights, MO 63043-3804
Phone (314) 628-9898

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120712000849 MO Part B Supplier - Clinic/Group Practice 2365607595 Receives reassigned benefits from 2 practitioners
Practice locations: Saint Louis, MO

National Provider Directory

National Provider Directory

Locations

11 Worthington Access Dr
Ste D
Maryland Heights, MO 63043
Phone (314) 628-9898

1862 Craigshire Dr
Saint Louis, MO 63146
Phone (314) 628-9898

Practitioners & affiliated clinicians

Practitioners 5

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": "1327622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347321600000",
    "number": "1467724120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 WORTHINGTON ACCESS DR STE D",
            "city": "MARYLAND HEIGHTS",
            "state": "MO",
            "postal_code": "630433804",
            "telephone_number": "314-628-9898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 WORTHINGTON ACCESS DR STE D",
            "city": "MARYLAND HEIGHTS",
            "state": "MO",
            "postal_code": "630433804",
            "telephone_number": "314-628-9898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH & PERFORMANCE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-27",
        "last_updated": "2012-09-11",
        "status": "A",
        "authorized_official_last_name": "VAN ANNE",
        "authorized_official_first_name": "JARED",
        "authorized_official_title_or_position": "CONSERVATIVE CARE SPECIALIST",
        "authorized_official_telephone_number": "314-628-9898",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MS, DC"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "MO",
            "license": "2009011881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maryland Heights, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2012; 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.