Organization Active NPI

Shawn P. Reiter D.C.P.C.

  • Chiropractor
  • Saint Louis, MO
National Provider Identifier
1720101215
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0006683 Issued in MO
Legal business name
SHAWN P. REITER D.C.P.C.
Practice address
9717 Landmark Parkway Dr
Suite 216
Saint Louis, MO 63127-1628
Phone
(314) 849-4120
Fax
(314) 849-2540
NPI assigned
Apr 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Shawn P Reiter, D.C.NPI 1457487100
Title
Pres.
Phone
(314) 409-3990

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 0006683 MO Primary

Addresses

Primary practice location

9717 Landmark Parkway Dr
Suite 216
Saint Louis, MO 63127-1628

Mailing address

83 Chicory CT
O Fallon, MO 63368-9717

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720101215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "83 CHICORY CT",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633689717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9717 LANDMARK PARKWAY DR",
            "address_2": "SUITE 216",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631271628",
            "telephone_number": "314-849-4120",
            "fax_number": "314-849-2540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAWN P. REITER D.C.P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "REITER",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRES.",
        "authorized_official_telephone_number": "314-409-3990",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "0006683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.