West End Chiropractic & Rehab Center

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2000149199 Issued in MO

Legal business name

WEST END CHIROPRACTIC & REHAB CENTER

Practice address

305 Union Blvd
Saint Louis, MO 63108-1229

Phone

(314) 361-4650

Fax

(314) 361-4663

NPI assigned

Aug 9, 2007

Last updated

Aug 9, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michael L Gerdine, D.C.NPI 1063571016

Title

Owner

Phone

(314) 631-4650

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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.

• Michael L Gerdine, D.C

  • Chiropractor
  • Saint Louis, MO
  • NPI 1063571016
  Authorized official Same address or phone

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

{
    "created_epoch": "1186617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186617600000",
    "number": "1790977122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 UNION BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631081229",
            "telephone_number": "314-361-4650",
            "fax_number": "314-361-4663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 UNION BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631081229",
            "telephone_number": "314-361-4650",
            "fax_number": "314-361-4663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST END CHIROPRACTIC & REHAB CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-09",
        "last_updated": "2007-08-09",
        "status": "A",
        "authorized_official_last_name": "GERDINE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-631-4650",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2000149199",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS GROUP NUMBER",
            "identifier": "164713",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• West County Pathologists, Inc.
• West County Radiological Group, Inc.
• West County Rheumatology, LLC
• West County Spine & Sports Medicine
• West County Surgicalspecialist
• West End Clinic
• West End Eyes (The Eye Bar)
• West End Internal Medicine
• West Medical Services
• West Overland Fire Protection Dist of St Louis County

• Chiropractor in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2007; 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.