Organization Active NPI

Perez Family Chiropractic LLC

  • Chiropractor
  • Saint Charles, MO
National Provider Identifier
1740721687
Registry record updated Jan 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2008011985 Issued in MO
Legal business name
PEREZ FAMILY CHIROPRACTIC LLC
Practice address
2039 S Old Highway 94
Saint Charles, MO 63303-3724
Phone
(636) 724-9444
Fax
(636) 724-9440
NPI assigned
Mar 11, 2017
Last updated
Jan 25, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2024

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

Authorized official

Name
Dr. Elizabeth Perez, DCNPI 1134386501
Title
Owner/ Doctor of Chiropractic
Phone
(314) 422-4853

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 2008011985 MO Primary

Addresses

Primary practice location

2039 S Old Highway 94
Saint Charles, MO 63303-3724

Mailing address

2039 S Old Highway 94
Saint Charles, MO 63303-3724
Phone (636) 724-9444

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181129003522 MO Part B Supplier - Clinic/Group Practice 4385988476 Receives reassigned benefits from 3 practitioners
Practice locations: Saint Charles, MO

National Provider Directory

National Provider Directory

Locations

2039 S Old Highway 94
Saint Charles, MO 63303
Phone (636) 724-9444

2261 Bluestone Dr
Saint Charles, MO 63303
Phone (314) 422-4853

Practitioners & affiliated clinicians

Practitioners 9

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": "1489190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706140800000",
    "number": "1740721687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2039 S OLD HIGHWAY 94",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633033724",
            "telephone_number": "636-724-9444",
            "fax_number": "636-724-9440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2039 S OLD HIGHWAY 94",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633033724",
            "telephone_number": "636-724-9444",
            "fax_number": "636-724-9440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEREZ FAMILY CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-11",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-25",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER/ DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "314-422-4853",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2008011985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Charles, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2024; 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.