Organization Active NPI

Sandra G Levy DC LLC

  • Chiropractor
  • Saint Louis, MO
National Provider Identifier
1548417850
Registry record updated Aug 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
006343 Issued in MO
Legal business name
SANDRA G LEVY DC LLC
Practice address
608 N McKnight Rd
Saint Louis, MO 63132-4911
Phone
(314) 991-5655
Fax
(314) 991-4872
NPI assigned
Aug 19, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2008

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

Authorized official

Name
Dr. Sandra G Levy, DC
Title
Owner
Phone
(314) 991-5655

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 006343 MO Primary

Addresses

Primary practice location

608 N McKnight Rd
Saint Louis, MO 63132-4911

Mailing address

608 N McKnight Rd
Saint Louis, MO 63132-4911
Phone (314) 991-5655

Other identifiers 1

IdentifierTypeStateIssuer
1699711739OtherMOPROVIDER ID

National Provider Directory

National Provider Directory

Locations

8229 Clayton Rd
Ste 204
Saint Louis, MO 63117
Phone (314) 721-7325

NPI Registry JSON

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

{
    "created_epoch": "1219104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219104000000",
    "number": "1548417850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 N MCKNIGHT RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631324911",
            "telephone_number": "314-991-5655",
            "fax_number": "314-991-4872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 N MCKNIGHT RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631324911",
            "telephone_number": "314-991-5655",
            "fax_number": "314-991-4872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDRA G LEVY DC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-19",
        "last_updated": "2008-08-19",
        "status": "A",
        "authorized_official_last_name": "LEVY",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-991-5655",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "006343",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER ID",
            "identifier": "1699711739",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2008; 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.