Organization Active NPI

St Clair Chiropractic LLC

  • Chiropractor
  • Mascoutah, IL
National Provider Identifier
1720622079
Registry record updated Oct 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
ST CLAIR CHIROPRACTIC LLC
Practice address
622 S Jefferson St
Mascoutah, IL 62258-2615
Phone
(618) 327-2000
NPI assigned
Oct 30, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2019

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

Authorized official

Name
Melissa Taylor
Title
Office Manager
Phone
(618) 979-3326

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

622 S Jefferson St
Mascoutah, IL 62258-2615

Mailing address

140 S Mill St
Nashville, IL 62263-1831
Phone (618) 327-2000

National Provider Directory

National Provider Directory

Locations

622 S Jefferson St
Mascoutah, IL 62258
Phone (618) 327-2000

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": "1572393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572393600000",
    "number": "1720622079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 S MILL ST",
            "city": "NASHVILLE",
            "state": "IL",
            "postal_code": "622631831",
            "telephone_number": "618-327-2000",
            "fax_number": "618-327-8770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 S JEFFERSON ST",
            "city": "MASCOUTAH",
            "state": "IL",
            "postal_code": "622582615",
            "telephone_number": "618-327-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST CLAIR CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-30",
        "last_updated": "2019-10-30",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "618-979-3326"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mascoutah, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2019; 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.