NPIMap

Organization Active NPI

West County Spine & Joint Chiropractic Clinic, LLC

  • Sports Physician Chiropractor
  • Ellisville, MO
National Provider Identifier
1487954434
Registry record updated Sep 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
2010013424 Issued in MO
Legal business name
WEST COUNTY SPINE & JOINT CHIROPRACTIC CLINIC, LLC
Practice address
355 Ozark Trail Dr
Suite #9
Ellisville, MO 63011-2164
Phone
(636) 394-2225
NPI assigned
Oct 25, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2014

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

Authorized official

Name
Dr. Lauren Elizabeth Hendrix, D.C., M.S.NPI 1316264237
Title
Owner/Chiropractic Physician
Phone
(636) 394-2225

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
Sports Physician ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NS0005X 2010013424 MO Primary

Addresses

Primary practice location

355 Ozark Trail Dr
Suite #9
Ellisville, MO 63011-2164

Mailing address

355 Ozark Trail Dr
Suite #9
Ellisville, MO 63011-2164
Phone (636) 394-2225

Other names 1

  • West County Spine & Joint Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101102000511 MO Part B Supplier - Clinic/Group Practice 3779777990 Receives reassigned benefits from 3 practitioners
Practice locations: Ellisville, MO

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1287964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410134400000",
    "number": "1487954434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 OZARK TRAIL DR",
            "address_2": "SUITE #9",
            "city": "ELLISVILLE",
            "state": "MO",
            "postal_code": "630112164",
            "telephone_number": "636-394-2225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 OZARK TRAIL DR",
            "address_2": "SUITE #9",
            "city": "ELLISVILLE",
            "state": "MO",
            "postal_code": "630112164",
            "telephone_number": "636-394-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST COUNTY SPINE & JOINT CHIROPRACTIC CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-25",
        "last_updated": "2014-09-08",
        "status": "A",
        "authorized_official_last_name": "HENDRIX",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTIC PHYSICIAN",
        "authorized_official_telephone_number": "636-394-2225",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C., M.S."
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "MO",
            "license": "2010013424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West County Spine & Joint",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ellisville, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2014; 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.