Chiromart Missouri

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

CHIROMART MISSOURI

Doing business as

The Backspace

Practice address

100 THF Blvd
Chesterfield, MO 63005-1123

Phone

(636) 536-4601

NPI assigned

Mar 29, 2022

Organization subpart

No

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

Authorized official

Name

Bailee Boyett

Title

Credentialing Specialtist

Phone

(815) 573-7145

Specialties & licenses 1

Addresses

Other names 1

• The Backspace Doing business as

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

{
    "created_epoch": "1648512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648512000000",
    "number": "1649910803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 WESTGATE CIR STE 100",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370278396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 THF BLVD",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630051123",
            "telephone_number": "636-536-4601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROMART MISSOURI",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-29",
        "last_updated": "2022-03-29",
        "certification_date": "2022-03-29",
        "status": "A",
        "authorized_official_last_name": "BOYETT",
        "authorized_official_first_name": "BAILEE",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALTIST",
        "authorized_official_telephone_number": "815-573-7145"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Backspace",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Imran Chishti, M.D.
• Luke S Choi, MD
• Brittany N Chrisman, MD
• Christine Berg Nutrition Services LLC

• Chiropractor in Chesterfield, MO
• Providers in Chesterfield, MO by specialty
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2022; 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.