Organization Active NPI

Klostermann Chiropractic, Inc.

  • Chiropractor
  • Saint Louis, MO
National Provider Identifier
1770818114
Registry record updated Aug 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2009026112 Issued in MO
Legal business name
KLOSTERMANN CHIROPRACTIC, INC.
Practice address
3828 S Lindbergh Blvd
Suite 116
Saint Louis, MO 63127-1366
Phone
(314) 843-3900
Fax
(314) 842-9884
NPI assigned
Oct 2, 2009
Last updated
Aug 11, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2010

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

Authorized official

Name
Dr. Jason Michael Klostermann, DC
Title
President
Phone
(314) 843-3900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2009026112 MO Primary

Addresses

Primary practice location

3828 S Lindbergh Blvd
Suite 116
Saint Louis, MO 63127-1366

Mailing address

3828 S Lindbergh Blvd
Suite 116
Saint Louis, MO 63127-1366
Phone (314) 843-3900

National Provider Directory

National Provider Directory

Locations

3828 S Lindbergh Blvd
Ste 116
Saint Louis, MO 63127
Phone (314) 842-8884

Practitioners & affiliated clinicians

Practitioners 2

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": "1254441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281484800000",
    "number": "1770818114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3828 S LINDBERGH BLVD",
            "address_2": "SUITE 116",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631271366",
            "telephone_number": "314-843-3900",
            "fax_number": "314-842-9884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3828 S LINDBERGH BLVD",
            "address_2": "SUITE 116",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631271366",
            "telephone_number": "314-843-3900",
            "fax_number": "314-842-9884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KLOSTERMANN CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-02",
        "last_updated": "2010-08-11",
        "status": "A",
        "authorized_official_last_name": "KLOSTERMANN",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-843-3900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2009026112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2010; 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.