Active NPI
Kinesiology Center of Greater St Louis Inc
- Chiropractor
- Saint Louis, MO
National Provider Identifier
1649296583
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- KINESIOLOGY CENTER OF GREATER ST LOUIS INC
- Practice address
- 608 No McKnight Rd
St Louis, MO 63132-4911 - Phone
- (314) 991-5655
- Fax
- (314) 991-4872
- NPI assigned
- Jul 14, 2006
- Last updated
- Mar 27, 2014
- 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
- Katharine M Conable, DC
- Title
- Vice President
- Phone
- (314) 991-5655
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3930 | MO | |
| Chiropractor | 111N00000X | NU | Primary |
Addresses
Primary practice location
608 No McKnight Rd
St Louis, MO 63132-4911
Mailing address
8229 Clayton Rd
Suite 204
Saint Louis, MO 63117-1155
Phone (314) 991-5655
Other identifiers 12
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10146X | Other | EMPIRE BLUE CROSS | |
| 179148 | Other | HEALTHLINK | |
| 3930 | Other | MISSOURI LICENSE | |
| 084723 | Other | HEALTH ALLIANCE | |
| 178246 | Other | HEALTHLINK | |
| 57883 | Other | GROUP HEALTH PLAN | |
| 350045267 | Other | RAILROAD MEDICARE | |
| 4582036 | Other | AETNA | |
| 990001765 | Other | RR MEDICARE GROUP PIN | |
| 10315X | Other | EMPIRE BLUE CROSS | |
| 4327678 | Other | AETNA | |
| 7412 | Other | BLUE CROSS BS OF MO |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
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.
-
- Chiropractor
- Saint Louis, MO
- NPI 1437109626
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152835200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1395878400000",
"number": "1649296583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8229 CLAYTON RD",
"address_2": "SUITE 204",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631171155",
"telephone_number": "314-991-5655",
"fax_number": "314-532-5080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "608 NO MCKNIGHT RD",
"city": "ST LOUIS",
"state": "MO",
"postal_code": "631324911",
"telephone_number": "314-991-5655",
"fax_number": "314-991-4872"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KINESIOLOGY CENTER OF GREATER ST LOUIS INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-14",
"last_updated": "2014-03-27",
"status": "A",
"authorized_official_last_name": "CONABLE",
"authorized_official_first_name": "KATHARINE",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "314-991-5655",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MO",
"license": "3930",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BLUE CROSS",
"identifier": "10146X",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHLINK",
"identifier": "179148",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MISSOURI LICENSE",
"identifier": "3930",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH ALLIANCE",
"identifier": "084723",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHLINK",
"identifier": "178246",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP HEALTH PLAN",
"identifier": "57883",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "350045267",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4582036",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE GROUP PIN",
"identifier": "990001765",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BLUE CROSS",
"identifier": "10315X",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4327678",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BS OF MO",
"identifier": "7412",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Saint Louis, MO
- Kindred Hospitals East, LLC (Kindred Hospital - St. Louis at Mercy)
- Kindred Hospitals East, LLC (Kindred Hospital - St. Louis)
- Kindred Village Corporation (Da Birth Whisperer)
- Carole Severan Kindred, RN
- Sally Kinealy
- Jennifer Dayle King Brogan, CRADC, MARS, CH
- Kelli Rae King-Morris, MD
- Allison A King, MD
- Amber King, LMFT
- Anthony Mario King, DO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.