Roseberry Chiropractic

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

2009038320 Issued in MO

Legal business name

ROSEBERRY CHIROPRACTIC

Practice address

2551 Bredell Ave
Maplewood, MO 63143-1807

Phone

(712) 660-0997

NPI assigned

Apr 27, 2010

Last updated

Apr 27, 2010By 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. Michelle Marie Roseberry, D.C.NPI 1326378902

Title

Doctor of Chiropractic

Phone

(712) 660-0997

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.

• Michelle Marie Roseberry, D.C.

  • Chiropractor
  • Maplewood, MO
  • NPI 1326378902
  NPD (past) Authorized official

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

{
    "created_epoch": "1272326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272326400000",
    "number": "1609193887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 LAKE SAINT LOUIS BLVD",
            "address_2": "100",
            "city": "LAKE ST LOUIS",
            "state": "MO",
            "postal_code": "633671340",
            "telephone_number": "636-695-4570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2551 BREDELL AVE",
            "city": "MAPLEWOOD",
            "state": "MO",
            "postal_code": "631431807",
            "telephone_number": "712-660-0997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSEBERRY CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-27",
        "last_updated": "2010-04-27",
        "status": "A",
        "authorized_official_last_name": "ROSEBERRY",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "712-660-0997",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "MO",
            "license": "2009038320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Cynthia Susan Rohlfing Dodson, LCSW
• Michelle Marie Roseberry, D.C.
• Rosebud Therapy Services LLC
• Michelle M Salois, LCSW
• Sam's Club Optical (Sam's Club Optical 30-6474)
• Sams East Inc (Sams Pharmacy 10-6474)

• Medical Specialty Clinic/Center in Maplewood, MO
• Providers in Maplewood, MO by specialty
• Medical Specialty Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2010; 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.