NPIMap

Organization Active NPI

Esquire Clinic Inc.

Doing business as Esquire Sports Medicine

  • Chiropractor
  • Saint Louis, MO
National Provider Identifier
1821232224
Registry record updated Apr 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
004302 Issued in MO
Legal business name
ESQUIRE CLINIC INC.
Doing business as
Esquire Sports Medicine
Practice address
1201 S Big Bend Blvd
Saint Louis, MO 63117-1645
Phone
(314) 644-0885
Fax
(314) 644-5836
NPI assigned
Apr 29, 2009
Last updated
Apr 15, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2021

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

Authorized official

Name
Dr. Helen J. Lichtenberg, D.C.
Title
Owner
Phone
(314) 644-0885

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 004302 MO Primary

Addresses

Primary practice location

1201 S Big Bend Blvd
Saint Louis, MO 63117-1645

Mailing address

1201 S Big Bend Blvd
Saint Louis, MO 63117-1645
Phone (314) 644-0885

Other names 1

  • Esquire Sports Medicine Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091215000042 MO Part B Supplier - Clinic/Group Practice 7214077742 Receives reassigned benefits from 3 practitioners
Practice locations: Saint Louis, MO

National Provider Directory

National Provider Directory

Locations

1201 S Big Bend Blvd
Saint Louis, MO 63117
Phone (314) 403-7290

1202 Bellevue Ave
Saint Louis, MO 63117
Phone (314) 644-0885

7750 Clayton Rd
Ste 203
Saint Louis, MO 63117
Phone (314) 644-0885

Practitioners & affiliated clinicians

Practitioners 7

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": "1240963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618444800000",
    "number": "1821232224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 S BIG BEND BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631171645",
            "telephone_number": "314-644-0885",
            "fax_number": "314-644-5836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 S BIG BEND BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631171645",
            "telephone_number": "314-644-0885",
            "fax_number": "314-644-5836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESQUIRE CLINIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-29",
        "last_updated": "2021-04-15",
        "certification_date": "2020-09-24",
        "status": "A",
        "authorized_official_last_name": "LICHTENBERG",
        "authorized_official_first_name": "HELEN",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-644-0885",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "004302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Esquire Sports Medicine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Esquire Sports Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 15, 2021; 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.