North County Rehab, D.C., LLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

2007000279 Issued in MO

Legal business name

NORTH COUNTY REHAB, D.C., LLC

Practice address

350C Village Square Dr
Suite 1
Hazelwood, MO 63042-1800

Phone

(314) 551-0000

NPI assigned

Nov 12, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Jacob H Utterback, D.C.

Title

Chiropractor/Member

Phone

(314) 551-0000

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1289520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289520000000",
    "number": "1689975252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350C VILLAGE SQUARE DR",
            "address_2": "SUITE 1",
            "city": "HAZELWOOD",
            "state": "MO",
            "postal_code": "630421800",
            "telephone_number": "314-551-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350C VILLAGE SQUARE DR",
            "address_2": "SUITE 1",
            "city": "HAZELWOOD",
            "state": "MO",
            "postal_code": "630421800",
            "telephone_number": "314-551-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH COUNTY REHAB, D.C., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-12",
        "last_updated": "2010-11-12",
        "status": "A",
        "authorized_official_last_name": "UTTERBACK",
        "authorized_official_first_name": "JACOB",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "CHIROPRACTOR/MEMBER",
        "authorized_official_telephone_number": "314-551-0000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "MO",
            "license": "2007000279",
            "primary": true
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "MO",
            "license": "CE006295",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• A R Norman, BCBA
• Guilan Norouzi, DDS
• North County Chiropractic & Rehab, LLC
• North County in Home Healthcare LLC
• North County Pain Relief Center, LLC
• North County Sports Fitness & Rehabilitation
• North St. Louis County Chiropractic, LLC (North St. Louis County Chiropractic)
• Northland Hearing Center, Inc. (Southwestern Hearing Center)
• Nothing Like Home Health Services LLC
• Heather Marie Nudelman, MA, PLPC

• Medical Specialty Clinic/Center in Hazelwood, MO
• Providers in Hazelwood, 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 Nov 12, 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.