Organization Active NPI

Cedar Hill Chiropractic PC

  • Chiropractor
  • Cedar Hill, MO
National Provider Identifier
1710175393
Registry record updated Oct 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2000147044 Issued in MO
Legal business name
CEDAR HILL CHIROPRACTIC PC
Practice address
6734 Mall Dr
Cedar Hill, MO 63016-2200
Phone
(636) 274-5500
Fax
(636) 285-0644
NPI assigned
Oct 9, 2007
Last updated
Oct 9, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2007

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

Authorized official

Name
Dr. Shawn D Lavigne, DCNPI 1164538385
Title
President
Phone
(636) 274-5500

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)CodeLicenseStatePrimary
Chiropractor 111N00000X 2000147044 MO Primary

Addresses

Primary practice location

6734 Mall Dr
Cedar Hill, MO 63016-2200

Mailing address

PO Box 21
6734 Mall Dr
Cedar Hill, MO 63016-0021
Phone (636) 274-5500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071109000031 MO Part B Supplier - Clinic/Group Practice 8729176789 Receives reassigned benefits from 1 practitioner
Practice locations: Cedar Hill, MO; St Louis, MO

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
26D2192515Cedar Hill Chiropractic PC6734 Mall Dr, Cedar Hill, MO 63016Certificate of waiverSep 9, 2026

National Provider Directory

National Provider Directory

Locations

6734 Mall Dr
Cedar Hill, MO 63016
Phone (636) 274-5500

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191888000000",
    "number": "1710175393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21",
            "address_2": "6734 MALL DR",
            "city": "CEDAR HILL",
            "state": "MO",
            "postal_code": "630160021",
            "telephone_number": "636-274-5500",
            "fax_number": "636-285-0644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6734 MALL DR",
            "city": "CEDAR HILL",
            "state": "MO",
            "postal_code": "630162200",
            "telephone_number": "636-274-5500",
            "fax_number": "636-285-0644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEDAR HILL CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-09",
        "last_updated": "2007-10-09",
        "status": "A",
        "authorized_official_last_name": "LAVIGNE",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "636-274-5500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2000147044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Hill, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.