Organization Active NPI

Timothy Lee Laster

  • Chiropractor
  • Arnold, MO
National Provider Identifier
1588098149
Registry record updated Aug 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
006403 Issued in MO
Legal business name
TIMOTHY LEE LASTER
Practice address
1331 Jeffco Blvd Ste 7
Arnold, MO 63010-2165
Phone
(636) 333-2983
Fax
(636) 333-2985
NPI assigned
Aug 30, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2013

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

Authorized official

Name
Timothy Laster, D.C.NPI 1629410295
Title
Owner/Provider
Phone
(636) 333-2983

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 006403 MO Primary

Addresses

Primary practice location

1331 Jeffco Blvd Ste 7
Arnold, MO 63010-2165

Mailing address

1331 Jeffco Blvd Ste 7
Arnold, MO 63010-2165
Phone (636) 333-2983

National Provider Directory

National Provider Directory

Locations

1331 Jeffco Blvd
Ste 7
Arnold, MO 63010
Phone (636) 333-2983

Practitioners & affiliated clinicians

Practitioners 1

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": "1377820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377820800000",
    "number": "1588098149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1331 JEFFCO BLVD STE 7",
            "city": "ARNOLD",
            "state": "MO",
            "postal_code": "630102165",
            "telephone_number": "636-333-2983",
            "fax_number": "636-333-2985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1331 JEFFCO BLVD STE 7",
            "city": "ARNOLD",
            "state": "MO",
            "postal_code": "630102165",
            "telephone_number": "636-333-2983",
            "fax_number": "636-333-2985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMOTHY LEE LASTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-30",
        "last_updated": "2013-08-30",
        "status": "A",
        "authorized_official_last_name": "LASTER",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "636-333-2983",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "006403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arnold, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2013; 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.