Premier Chiropractic Wellness Centre

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2015020087 Issued in MO

Legal business name

PREMIER CHIROPRACTIC WELLNESS CENTRE

Practice address

9 The PLZ
Troy, MO 63379-1365

Phone

(314) 691-5404

NPI assigned

Jun 29, 2015

Organization subpart

No

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

Authorized official

Name

Michelle Anthony, D.C

Title

Doctor of Chiropractic

Phone

(314) 691-5404

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1435536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462838400000",
    "number": "1508248311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 THE PLZ",
            "city": "TROY",
            "state": "MO",
            "postal_code": "633791365",
            "telephone_number": "314-691-5404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 THE PLZ",
            "city": "TROY",
            "state": "MO",
            "postal_code": "633791365",
            "telephone_number": "314-691-5404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER CHIROPRACTIC WELLNESS CENTRE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-29",
        "last_updated": "2016-05-10",
        "status": "A",
        "authorized_official_last_name": "ANTHONY",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "314-691-5404",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2015020087",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "MA5685",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelly Pietzman, DPT
• Lisa Kay Porter, LPC
• Alyssa Potts, LPC
• Robert Powell
• Preferred Family Healthcare, Inc.
• Lauren Marie Price, MS CCC SLP
• Professional Rehabilitation Services, LLC
• Kaylee A Pruitt, PTA
• Angela Elise Pulliam
• Patricia E Pyatt, LPC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2016; 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.