St. Louis Chiropractic and Injury Rehab, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2006002533 Issued in MO

Legal business name

ST. LOUIS CHIROPRACTIC AND INJURY REHAB, LLC

Practice address

91 Chesterfield Mall
Suite 278
Chesterfield, MO 63017-4807

Phone

(314) 681-8521

NPI assigned

Nov 8, 2012

Last updated

Nov 8, 2012By 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. Aaron Wahl, D.C.NPI 1063429397

Title

Manager

Phone

(314) 681-8521

Specialties & licenses 1

Addresses

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.

• Aaron Wahl, D.C.

  • Chiropractor
  • Chesterfield, MO
  • NPI 1063429397
  NPD (past) Authorized official

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

{
    "created_epoch": "1352332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352332800000",
    "number": "1841544095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14857 PHEASANT HILL CT",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630175411",
            "telephone_number": "314-681-8521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 CHESTERFIELD MALL",
            "address_2": "SUITE 278",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630174807",
            "telephone_number": "314-681-8521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. LOUIS CHIROPRACTIC AND INJURY REHAB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-08",
        "last_updated": "2012-11-08",
        "status": "A",
        "authorized_official_last_name": "WAHL",
        "authorized_official_first_name": "AARON",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "314-681-8521",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2006002533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Chesterfield, MO
• Providers in Chesterfield, MO by specialty
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2012; 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.