Organization Active NPI

Stefanie Sanger, LLC

Doing business as Clayton Wellness Center

  • Chiropractor
  • Clayton, MO
National Provider Identifier
1760760649
Registry record updated Jul 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2009000014 Issued in MO
Legal business name
STEFANIE SANGER, LLC
Doing business as
Clayton Wellness Center
Practice address
7751 Carondelet Ave
Suite 606
Clayton, MO 63105-3316
Phone
(314) 726-4600
Fax
(314) 721-3992
NPI assigned
Jul 27, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2011

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

Authorized official

Name
Dr. Stefanie Erin Sanger, DC, JD
Title
Owner
Phone
(314) 726-4600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2009000014 MO Primary

Addresses

Primary practice location

7751 Carondelet Ave
Suite 606
Clayton, MO 63105-3316

Mailing address

7751 Carondelet Ave
Suite 606
Clayton, MO 63105-3316
Phone (314) 726-4600

Other names 1

  • Clayton Wellness Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110811000578 MO Part B Supplier - Clinic/Group Practice 3072782838 Receives reassigned benefits from 1 practitioner
Practice locations: Saint Louis, MO

National Provider Directory

National Provider Directory

Locations

7751 Carondelet Ave
Ste 606
Saint Louis, MO 63105
Phone (314) 726-4600

8820 Ladue Rd
Ste 201
Saint Louis, MO 63124
Phone (314) 726-4600

Practitioners & affiliated clinicians

Practitioners 2

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": "1311724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311724800000",
    "number": "1760760649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7751 CARONDELET AVE",
            "address_2": "SUITE 606",
            "city": "CLAYTON",
            "state": "MO",
            "postal_code": "631053316",
            "telephone_number": "314-726-4600",
            "fax_number": "314-721-3992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7751 CARONDELET AVE",
            "address_2": "SUITE 606",
            "city": "CLAYTON",
            "state": "MO",
            "postal_code": "631053316",
            "telephone_number": "314-726-4600",
            "fax_number": "314-721-3992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEFANIE SANGER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-27",
        "last_updated": "2011-07-27",
        "status": "A",
        "authorized_official_last_name": "SANGER",
        "authorized_official_first_name": "STEFANIE",
        "authorized_official_middle_name": "ERIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-726-4600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC, JD"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2009000014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clayton Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clayton, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 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.