Active NPI
Metro Chiropractic Centre, Inc.
- Chiropractor
- Saint Louis, MO
National Provider Identifier
1639218324
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 5913
- Legal business name
- METRO CHIROPRACTIC CENTRE, INC.
- Practice address
- 2108 Schuetz Rd
Saint Louis, MO 63146-3538 - Phone
- (314) 567-7300
- Fax
- (314) 997-4326
- NPI assigned
- Feb 6, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Robert Eugene Elder, D.C.
- Title
- President
- Phone
- (314) 567-7300
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 5913 | MO | Primary |
Addresses
Primary practice location
2108 Schuetz Rd
Saint Louis, MO 63146-3538
Mailing address
2108 Schuetz Rd
Saint Louis, MO 63146-3538
Phone (314) 567-7300
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 15344 | Other | MO | BLUE CROSS BLUE SHIELD |
| 4413038 | Other | MO | AETNA |
| 791611 | Other | MO | HEALTHLINK GROUP PIN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Creve Coeur, MO
- NPI 1487723425
-
- Chiropractor
- Saint Louis, MO
- NPI 1275242372
-
- Chiropractor
- Creve Coeur, MO
- NPI 1205075835
-
- Chiropractor
- Kirkwood, MO
- NPI 1730228248
-
- Chiropractor
- Creve Coeur, MO
- NPI 1477788602
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170720000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1444867200000",
"number": "1639218324",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2108 SCHUETZ RD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631463538",
"telephone_number": "314-567-7300",
"fax_number": "314-997-4326"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2108 SCHUETZ RD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631463538",
"telephone_number": "314-567-7300",
"fax_number": "314-997-4326"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "METRO CHIROPRACTIC CENTRE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-06",
"last_updated": "2015-10-15",
"status": "A",
"authorized_official_last_name": "ELDER",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "EUGENE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "314-567-7300",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "MO",
"license": "5913",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "15344",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4413038",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHLINK GROUP PIN",
"identifier": "791611",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
- Marlene M. Mestres, OTR-L
- Bailey Metcalf
- Meredith Metcalf, MD
- Tori L. Metheny, BA
- Manasa Madhuri Metireddy, MD
- Metro Dental Sleep Medicine, LLC
- Metro Dialysis Center - Normandy, Inc. (Fresenius Kidney Care Normandy/Metro Normandy)
- Metro Eye Associates, LLC (South County Eye Care)
- Metro Heart Group of St. Louis, Inc
- Metro Medical Clinic South LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2015; 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.