Active NPI
John C Smith Jr Inc
- Chiropractor
- Ellisville, MO
National Provider Identifier
1689600157
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- JOHN C SMITH JR INC
- Practice address
- 249 Clarkson Rd
#101
Ellisville, MO 63011-2219 - Phone
- (636) 256-0707
- NPI assigned
- Jun 24, 2006
- 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
- John Smith Jr., DC
- Title
- Owner
- Phone
- (636) 256-0707
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 | Primary |
Addresses
Primary practice location
249 Clarkson Rd
#101
Ellisville, MO 63011-2219
Mailing address
249 Clarkson Rd # 101
Ellisville, MO 63011-2497
Phone (636) 256-0707
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
249 Clarkson Rd
Ste 101
Ellisville, MO 63011
Phone (636) 256-0707
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Ellisville, MO
- NPI 1447288071
-
- Chiropractor
- Ballwin, MO
- NPI 1154105849
-
- Chiropractor
- Ellisville, MO
- NPI 1598283897
-
- Chiropractor
- Chesterfield, MO
- NPI 1598822710
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151107200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1703030400000",
"number": "1689600157",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "249 CLARKSON RD # 101",
"city": "ELLISVILLE",
"state": "MO",
"postal_code": "630112497",
"telephone_number": "636-256-0707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "249 CLARKSON RD",
"address_2": "#101",
"city": "ELLISVILLE",
"state": "MO",
"postal_code": "630112219",
"telephone_number": "636-256-0707"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOHN C SMITH JR INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-24",
"last_updated": "2023-12-20",
"certification_date": "2023-12-20",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "636-256-0707",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ellisville, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2023; 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.