Active NPI
Huntington Overley, D.C.
- Nutrition Chiropractor
- Creve Coeur, MO
National Provider Identifier
1902337397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutrition Chiropractor
- License
- 2016019578
- Practice address
- 11628 Old Ballas Rd
Creve Coeur, MO 63141-7030 - Phone
- (314) 474-7070
- NPI assigned
- Mar 27, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutrition Chiropractor | 111NN1001X | 2016019578 | MO | Primary |
Addresses
Primary practice location
11628 Old Ballas Rd
Creve Coeur, MO 63141-7030
Mailing address
11628 Old Ballas Rd
Creve Coeur, MO 63141-7030
Phone (314) 474-7070
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2016019578 | MO | MD | Nutrition Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563926400000",
"number": "1902337397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11628 OLD BALLAS RD",
"city": "CREVE COEUR",
"state": "MO",
"postal_code": "631417030",
"telephone_number": "314-474-7070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11628 OLD BALLAS RD",
"city": "CREVE COEUR",
"state": "MO",
"postal_code": "631417030",
"telephone_number": "314-474-7070"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OVERLEY",
"first_name": "HUNTINGTON",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-03-27",
"last_updated": "2019-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "111NN1001X",
"taxonomy_group": "",
"desc": "Chiropractor, Nutrition",
"state": "MO",
"license": "2016019578",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Creve Coeur, MO
- Ortho Missouri, LLC
- Ortho Sport & Spine Physicians of Missouri, LLC
- Ortho Sport and Spine Physicians St. Louis
- Orthopedic Ambulatory Surgery Center of Chesterfield, LLC
- Orthotic and Prosthetic Lab, Inc
- Thierry Papazian, DMD
- Parc Provence Management, L.L.C.
- Robin S Park, MD
- Parkcrest Orthopedics, LLC
- Jose Marino Parra, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.