Proficient Chiropractic Holdings LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

PROFICIENT CHIROPRACTIC HOLDINGS LLC

Practice address

2050 Woodson Rd
Suite 101
Saint Louis, MO 63114-5644

Phone

(314) 276-4154

Fax

(314) 447-0726

NPI assigned

Dec 12, 2013

Last updated

Dec 12, 2013By 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. Edgar Everett III, DCNPI 1033177746

Title

Owner

Phone

(314) 276-4154

Specialties & licenses 1

Addresses

Locations

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.

• Edgar Everett III, D.C.

  • Chiropractor
  • Overland, MO
  • NPI 1033177746
  Authorized official Same address or phone

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

{
    "created_epoch": "1386806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386806400000",
    "number": "1821429077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10251 LINCOLN TRL",
            "address_2": "SUITE 4",
            "city": "FAIRVIEW HEIGHTS",
            "state": "IL",
            "postal_code": "622081846",
            "telephone_number": "314-276-4154",
            "fax_number": "314-447-0726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 WOODSON RD",
            "address_2": "SUITE 101",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631145644",
            "telephone_number": "314-276-4154",
            "fax_number": "314-447-0726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFICIENT CHIROPRACTIC HOLDINGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-12",
        "last_updated": "2013-12-12",
        "status": "A",
        "authorized_official_last_name": "EVERETT",
        "authorized_official_first_name": "EDGAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-276-4154",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 Dec 12, 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.