Vidan Family Chiropractic Clinic, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

VIDAN FAMILY CHIROPRACTIC CLINIC, LLC

Practice address

2230 S Brentwood Blvd
Brentwood, MO 63144

Phone

(314) 678-9355

Fax

(314) 721-9559

NPI assigned

Dec 20, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Sara Kristen Vidan, DCNPI 1609802826

Title

Owner

Phone

(314) 678-9355

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Locations

Practitioners 5

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

• Amy Lynn Grabowski, D.C.

  • Chiropractor
  • Brentwood, MO
  • NPI 1316185960
  Medicare reassignment Care Compare group NPD
• Alexander Vidan, DC

  • Chiropractor
  • Brentwood, MO
  • NPI 1902842388
  Medicare reassignment Care Compare group NPD
• Sara Vidan

  • Chiropractor
  • Brentwood, MO
  • NPI 1609802826
  NPD (past) Authorized official
• Jennifer Lueders Davis, FNP-C

  • Family Nurse Practitioner
  • Saint Peters, MO
  • NPI 1750769261
  NPD (past)
• Elizabeth Shipp, FNP-BC

  • Nurse Practitioner
  • Saint Louis, MO
  • NPI 1033659859
  NPD (past)

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533859200000",
    "number": "1720142250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2230 S BRENTWOOD BLVD",
            "city": "BRENTWOOD",
            "state": "MO",
            "postal_code": "631441831",
            "telephone_number": "314-678-9355",
            "fax_number": "314-721-9559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2230 S BRENTWOOD BLVD",
            "city": "BRENTWOOD",
            "state": "MO",
            "postal_code": "63144",
            "telephone_number": "314-678-9355",
            "fax_number": "314-721-9559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIDAN FAMILY CHIROPRACTIC CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-20",
        "last_updated": "2018-08-10",
        "status": "A",
        "authorized_official_last_name": "VIDAN",
        "authorized_official_first_name": "SARA",
        "authorized_official_middle_name": "KRISTEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-678-9355",
        "authorized_official_name_prefix": "Dr.",
        "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": []
}

• True Quality Care
• Darlene Turner
• Upaya Counseling, LLC
• Gerald B. Vanden Hoek, D.C.
• Steven Lee Vanden Hoek, D.C.
• Alexander Vidan, DC
• Sara Vidan
• Walgreen Co
• Theresa M Walthall, OTR/L
• Lindsey Wang

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2018; 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.

Verify at the official NPI Registry.