Laura Stephenson, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2020042512 Issued in MO

Practice address

1120 Wolfrum Rd Ste 101
Weldon Spring, MO 63304-7958

Phone

(636) 244-1748

Fax

(636) 244-1748

NPI assigned

Jan 5, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Specialty

Chiropractic

Education

Logan College of Chiropractic, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Premier ChiropracticGroup PAC ID 0446648539, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Premier Chiropractic

  • Clinic/Center
  • Weldon Spring, MO
  • NPI 1023788577
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1609804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633046400000",
    "number": "1487242558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 WOLFRUM RD STE 101",
            "city": "WELDON SPRING",
            "state": "MO",
            "postal_code": "633047958",
            "telephone_number": "636-244-1748",
            "fax_number": "636-244-1748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 WOLFRUM RD STE 101",
            "city": "WELDON SPRING",
            "state": "MO",
            "postal_code": "633047958",
            "telephone_number": "636-244-1748",
            "fax_number": "636-244-1748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHENSON",
        "first_name": "LAURA",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-05",
        "last_updated": "2021-10-01",
        "certification_date": "2021-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2020042512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Soh of Missouri
• Soh of Missouri Samson Liu PC
• Soh of Missouri Samson Liu PC
• St. Charles Psychiatric Associates, Inc.
• Lynn Marie Stark, APRN
• Melissa Lynn Strickland
• Richard Kenneth Suarez Jr., LPTA
• Erica Suchland, PLPC
• Brittany Taake, PHARMD
• Amanda Thieme, LCSW

• Chiropractor in Weldon Spring, MO
• Providers in Weldon Spring, MO by specialty
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.