Cornerstone Chiropractor Clinic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

005551 Issued in MO

Legal business name

CORNERSTONE CHIROPRACTOR CLINIC LLC

Practice address

504 N Washington St
Salem, MO 65560-1268

Phone

(573) 729-5321

Fax

(573) 729-1010

NPI assigned

Aug 5, 2010

Last updated

Aug 26, 2015By 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

Dr. Bernard Donald Sirois Jr., D.C.

Title

Chiropractor

Phone

(573) 729-5321

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Practitioners 3

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.

• Bernard D Sirios, D.C.

  • Chiropractor
  • Salem, MO
  • NPI 1659333524
  Medicare reassignment Care Compare group NPD
• Michelle Gray Sirois, DC

  • Chiropractor
  • Salem, MO
  • NPI 1184686065
  Medicare reassignment Care Compare group NPD
• James A Gray, D.C.

  • Chiropractor
  • Salem, MO
  • NPI 1598747784
  NPD (past)

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

{
    "created_epoch": "1280966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440547200000",
    "number": "1477867166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 N WASHINGTON ST",
            "city": "SALEM",
            "state": "MO",
            "postal_code": "655601268",
            "telephone_number": "573-729-5321",
            "fax_number": "573-729-1010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 N WASHINGTON ST",
            "city": "SALEM",
            "state": "MO",
            "postal_code": "655601268",
            "telephone_number": "573-729-5321",
            "fax_number": "573-729-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE CHIROPRACTOR CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-05",
        "last_updated": "2015-08-26",
        "status": "A",
        "authorized_official_last_name": "SIROIS",
        "authorized_official_first_name": "BERNARD",
        "authorized_official_middle_name": "DONALD",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "573-729-5321",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "005551",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "005352",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Community Care Center of Salem, Inc. (Seville Care Center)
• Community Residence, Inc. (Salem Residential Care)
• Cons School Dist R-3 of Salem
• Michael Conway, L.M.T.
• Stephanie Polistico Cooper
• Desirea Lynn Counts, LPN
• Covenant Care Services, LLC (Ashley's Place Adult Day Care)
• Kathleen Marie Davis, LPC
• Jill Dean
• John Demorlis, MD

• Chiropractor in Salem, MO
• Providers in Salem, MO by specialty
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2015; 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.