Organization Active NPI

Carolyn S. Griffin, DC, LLC

  • Chiropractor
  • Saint Charles, MO
National Provider Identifier
1598237240
Registry record updated Oct 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
CAROLYN S. GRIFFIN, DC, LLC
Practice address
222 S 2ND St
Saint Charles, MO 63301-2809
Phone
(314) 566-4282
NPI assigned
Dec 19, 2018
Last updated
Oct 13, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2022

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

Authorized official

Name
Dr. Carolyn Skylark Griffin, DCNPI 1063958510
Title
Chiropractic Physician
Phone
(314) 566-4282

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
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

222 S 2ND St
Saint Charles, MO 63301-2809

Mailing address

222 S 2ND St
Saint Charles, MO 63301-2809
Phone (314) 566-4282

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190821004711 MO Part B Supplier - Clinic/Group Practice 6901134410 Receives reassigned benefits from 1 practitioner
Practice locations: Saint Charles, MO

National Provider Directory

National Provider Directory

Locations

222 S 2nd St
Saint Charles, MO 63301
Phone (636) 345-4565

1404 Triad Center Dr
Saint Peters, MO 63376
Phone (636) 352-0380

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1545177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665619200000",
    "number": "1598237240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 S 2ND ST",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633012809",
            "telephone_number": "314-566-4282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 S 2ND ST",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633012809",
            "telephone_number": "314-566-4282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLYN S. GRIFFIN, DC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-19",
        "last_updated": "2022-10-13",
        "certification_date": "2022-10-13",
        "status": "A",
        "authorized_official_last_name": "GRIFFIN",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "SKYLARK",
        "authorized_official_title_or_position": "CHIROPRACTIC PHYSICIAN",
        "authorized_official_telephone_number": "314-566-4282",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Charles, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2022; 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.