Organization Active NPI

Kiernan Chiropractic, Inc.

  • Sports Physician Chiropractor
  • Saint Louis, MO
National Provider Identifier
1790128007
Registry record updated Apr 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
Legal business name
KIERNAN CHIROPRACTIC, INC.
Practice address
2401 S 11TH St
Saint Louis, MO 63104-4345
Phone
(314) 865-2450
Fax
(314) 865-2450
NPI assigned
Apr 17, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2013

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

Authorized official

Name
Dr. John Edward Kiernan Jr., D.C.NPI 1134213044
Title
President
Phone
(314) 865-2450

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
Sports Physician ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NS0005X Primary

Addresses

Primary practice location

2401 S 11TH St
Saint Louis, MO 63104-4345

Mailing address

2401 S 11TH St
Saint Louis, MO 63104-4345
Phone (314) 865-2450

National Provider Directory

National Provider Directory

Locations

2401 S 11th St
Saint Louis, MO 63104
Phone (314) 865-2450

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": "1366156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366156800000",
    "number": "1790128007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 S 11TH ST",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631044345",
            "telephone_number": "314-865-2450",
            "fax_number": "314-865-2450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 S 11TH ST",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631044345",
            "telephone_number": "314-865-2450",
            "fax_number": "314-865-2450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIERNAN CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-17",
        "last_updated": "2013-04-17",
        "status": "A",
        "authorized_official_last_name": "KIERNAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-865-2450",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": null,
            "license": null,
            "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 Apr 17, 2013; 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.