Organization Active NPI

Dr Laurie Mecham PC

  • Acupuncturist
  • Ballwin, MO
National Provider Identifier
1851868236
Registry record updated Oct 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
DR LAURIE MECHAM PC
Practice address
15480 Clayton Rd Ste 103
Ballwin, MO 63011-3172
Phone
(314) 288-9525
NPI assigned
Oct 24, 2018
Last updated
Oct 24, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2018

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

Authorized official

Name
Mary Laurie Mecham, L.ACNPI 1033309109
Title
Owner
Phone
(314) 288-9525

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 171100000X Primary
Massage TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225700000X

Addresses

Primary practice location

15480 Clayton Rd Ste 103
Ballwin, MO 63011-3172

Mailing address

1470 Saint Paul Rd
Ballwin, MO 63021-8210
Phone (314) 288-9525

National Provider Directory

National Provider Directory

Locations

15480 Clayton Rd
Ste 103
Ballwin, MO 63011
Phone (314) 246-9126

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1540339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540339200000",
    "number": "1851868236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1470 SAINT PAUL RD",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630218210",
            "telephone_number": "314-288-9525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15480 CLAYTON RD STE 103",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630113172",
            "telephone_number": "314-288-9525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR LAURIE MECHAM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-24",
        "last_updated": "2018-10-24",
        "status": "A",
        "authorized_official_last_name": "MECHAM",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "LAURIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-288-9525",
        "authorized_official_credential": "L.AC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ballwin, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2018; 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.