Larry E Burrell, DC, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

6502 Issued in MO

Legal business name

LARRY E BURRELL, DC, LLC

Practice address

4 West Dr
Suite 100
Chesterfield, MO 63017-1793

Phone

(636) 536-3622

Fax

(636) 536-2039

NPI assigned

Jul 23, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Larry Edward Burrell, D.C.

Title

Member

Phone

(636) 536-3622

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1216771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216771200000",
    "number": "1851556450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 WEST DR",
            "address_2": "SUITE 100",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630171793",
            "telephone_number": "636-536-3622",
            "fax_number": "636-536-2039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 WEST DR",
            "address_2": "SUITE 100",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630171793",
            "telephone_number": "636-536-3622",
            "fax_number": "636-536-2039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARRY E BURRELL, DC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-23",
        "last_updated": "2008-07-23",
        "status": "A",
        "authorized_official_last_name": "BURRELL",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "636-536-3622",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "6502",
            "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 Jul 23, 2008; 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.