Pain Relief Center, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2007014728 Issued in MO

Legal business name

PAIN RELIEF CENTER, LLC

Practice address

7157 N Lindbergh Blvd
Hazelwood, MO 63042-2039

Phone

(314) 731-4201

Fax

(888) 528-8827

NPI assigned

Jun 11, 2012

Last updated

Jun 11, 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. Adam B Elsey, DCNPI 1396794988

Title

Owner / Doctor

Phone

(314) 731-4201

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.

• Adam B Elsey, DC

  • Chiropractor
  • Hazelwood, MO
  • NPI 1396794988
  Authorized official Same address or phone

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

{
    "created_epoch": "1339372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339372800000",
    "number": "1841552478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7157 N LINDBERGH BLVD",
            "city": "HAZELWOOD",
            "state": "MO",
            "postal_code": "630422039",
            "telephone_number": "314-731-4201",
            "fax_number": "888-528-8827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7157 N LINDBERGH BLVD",
            "city": "HAZELWOOD",
            "state": "MO",
            "postal_code": "630422039",
            "telephone_number": "314-731-4201",
            "fax_number": "888-528-8827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN RELIEF CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-11",
        "last_updated": "2012-06-11",
        "status": "A",
        "authorized_official_last_name": "ELSEY",
        "authorized_official_first_name": "ADAM",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER / DOCTOR",
        "authorized_official_telephone_number": "314-731-4201",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2007014728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.