NPIMap

Organization Active NPI

Optimum Health Chiropractic LLC

  • Health Service Clinic/Center
  • Florissant, MO
National Provider Identifier
1750528659
Registry record updated Feb 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
2008029830 Issued in MO
Legal business name
OPTIMUM HEALTH CHIROPRACTIC LLC
Practice address
3533 Dunn Rd
Ste. 236
Florissant, MO 63033-6761
Phone
(314) 831-8877
Fax
(314) 831-8874
NPI assigned
Jan 14, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2009

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

Authorized official

Name
Dr. Lindsay Brookes Banks, D.C.
Title
Owner
Phone
(618) 670-8982

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X 2008029830 MO Primary

Addresses

Primary practice location

3533 Dunn Rd
Ste. 236
Florissant, MO 63033-6761

Mailing address

1130 Central Ave
Alton, IL 62002-3756
Phone (618) 670-8982

National Provider Directory

National Provider Directory

Locations

320 Brookes Dr
Ste 237
Hazelwood, MO 63042
Phone (314) 372-6702

NPI Registry JSON

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

{
    "created_epoch": "1231891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235088000000",
    "number": "1750528659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 CENTRAL AVE",
            "city": "ALTON",
            "state": "IL",
            "postal_code": "620023756",
            "telephone_number": "618-670-8982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3533 DUNN RD",
            "address_2": "STE. 236",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630336761",
            "telephone_number": "314-831-8877",
            "fax_number": "314-831-8874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMUM HEALTH CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-14",
        "last_updated": "2009-02-20",
        "status": "A",
        "authorized_official_last_name": "BANKS",
        "authorized_official_first_name": "LINDSAY",
        "authorized_official_middle_name": "BROOKES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "618-670-8982",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "MO",
            "license": "2008029830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florissant, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2009; 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.