Charleston Square Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2000145882 Issued in MO

Legal business name

CHARLESTON SQUARE CHIROPRACTIC LLC

Practice address

4249 N Saint Peters Pkwy
Suite a
Saint Peters, MO 63304-7441

Phone

(636) 441-9240

Fax

(636) 441-2224

NPI assigned

Feb 18, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Quinn J James, D.C.NPI 1003907064

Title

Owner

Phone

(636) 441-9240

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Locations

Practitioners 1

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

• Quinn Joseph James, D.C.

  • Chiropractor
  • Saint Peters, MO
  • NPI 1003907064
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1234915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294617600000",
    "number": "1720227549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4249 N SAINT PETERS PKWY",
            "address_2": "SUITE A",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633047441",
            "telephone_number": "636-441-9240",
            "fax_number": "636-441-2224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4249 N SAINT PETERS PKWY",
            "address_2": "SUITE A",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633047441",
            "telephone_number": "636-441-9240",
            "fax_number": "636-441-2224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLESTON SQUARE CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-18",
        "last_updated": "2011-01-10",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "QUINN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "636-441-9240",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2000145882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Genica Chairs
• Matthew Scott Chaney, D.D.S.
• Kirim Chang, M.D.
• Tonita Channel, RN
• Zachary Chapis, DPT
• Anuj Chhaparia, M.D.
• Molly Childers, MOT, OTR/L
• Chinya Murali MD LLC
• Chiro One Wellness Center of St Peters LLC
• Carolyn Chitava

• Chiropractor in Saint Peters, MO
• Providers in Saint Peters, MO by specialty
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2011; 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.