Organization Active NPI

Freedom Chiropractic LLC

  • Preferred Provider Organization
  • Saint Louis, MO
National Provider Identifier
1871912055
Registry record updated Apr 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
2007030811 Issued in MO
Legal business name
FREEDOM CHIROPRACTIC LLC
Practice address
4600 S Lindbergh Blvd
Ste 3
Saint Louis, MO 63127-1830
Phone
(314) 843-0300
Fax
(314) 729-1015
NPI assigned
Apr 15, 2014
Last updated
Apr 15, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2014

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

Authorized official

Name
Dr. Lovie Nathan Free III, DC
Title
Chiropractic Physician/Owner
Phone
(314) 843-0300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X 2007030811 MO Primary

Addresses

Primary practice location

4600 S Lindbergh Blvd
Ste 3
Saint Louis, MO 63127-1830

Mailing address

279 Bowles Ave
Fenton, MO 63026-3921
Phone (314) 843-0300

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1397520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397520000000",
    "number": "1871912055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "279 BOWLES AVE",
            "city": "FENTON",
            "state": "MO",
            "postal_code": "630263921",
            "telephone_number": "314-843-0300",
            "fax_number": "314-729-1015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 S LINDBERGH BLVD",
            "address_2": "STE 3",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631271830",
            "telephone_number": "314-843-0300",
            "fax_number": "314-729-1015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEDOM CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-15",
        "last_updated": "2014-04-15",
        "status": "A",
        "authorized_official_last_name": "FREE",
        "authorized_official_first_name": "LOVIE",
        "authorized_official_middle_name": "NATHAN",
        "authorized_official_title_or_position": "CHIROPRACTIC PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "314-843-0300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "MO",
            "license": "2007030811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2014; 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.