Price-Bourisaw Family Chiropractic

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2014006004 Issued in MO

Legal business name

PRICE-BOURISAW FAMILY CHIROPRACTIC

Practice address

2917 State Highway K
O Fallon, MO 63368

Phone

(314) 922-0586

NPI assigned

Feb 15, 2016

Last updated

Feb 15, 2016By 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. Laura Noelle Price-Bourisaw, DCNPI 1861819526

Title

Chiropractic Physician

Phone

(314) 922-0586

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Laura Price-Bourisaw, D.C.

  • Chiropractor
  • Wentzville, MO
  • NPI 1861819526
  NPD (past) Authorized official

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

{
    "created_epoch": "1455494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455494400000",
    "number": "1588023956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 WARSEN AVE",
            "city": "WENTZVILLE",
            "state": "MO",
            "postal_code": "633854811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2917 STATE HIGHWAY K",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "63368",
            "telephone_number": "314-922-0586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRICE-BOURISAW FAMILY CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-15",
        "last_updated": "2016-02-15",
        "status": "A",
        "authorized_official_last_name": "PRICE-BOURISAW",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "NOELLE",
        "authorized_official_title_or_position": "CHIROPRACTIC PHYSICIAN",
        "authorized_official_telephone_number": "314-922-0586",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2014006004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Powers Family Pharmacy LLC (Powers Compounding Pharmacy)
• Randolph Patrick Powers, R.PH.
• Sharlene Powers
• Premise Health of Missouri Medical PC (Live Well at Citi - O'Fallon)
• Premise Health of Ohio Medical, P.a (Citi Health Services)
• Proactive Behavioral Health Solutions, Inc.
• Proactive Behavioral Health, Inc.
• Progress West Healthcare Center
• Progress West Healthcare Center
• Progress West Healthcare Center

• Chiropractor in O'Fallon, MO
• Providers in O'Fallon, MO by specialty
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 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.