Organization Active NPI

Kinetic Care Chiropractic & Rehabilitation, LLC

  • Chiropractor
  • Saint Peters, MO
National Provider Identifier
1912379769
Registry record updated Mar 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2015015035 Issued in MO
Legal business name
KINETIC CARE CHIROPRACTIC & REHABILITATION, LLC
Practice address
511 Salt Lick Rd
Saint Peters, MO 63376-1288
Phone
(618) 401-1767
NPI assigned
Oct 20, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2016

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

Authorized official

Name
Dr. Eric Byerly, D.C.
Title
Chiropractic Physician/Owner
Phone
(618) 401-1767

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 2015015035 MO Primary

Addresses

Primary practice location

511 Salt Lick Rd
Saint Peters, MO 63376-1288

Mailing address

511 Salt Lick Rd
Saint Peters, MO 63376-1288
Phone (618) 401-1767

National Provider Directory

National Provider Directory

Locations

511 Salt Lick Rd
Saint Peters, MO 63376
Phone (636) 333-0633

NPI Registry JSON

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

{
    "created_epoch": "1445299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456790400000",
    "number": "1912379769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 SALT LICK RD",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633761288",
            "telephone_number": "618-401-1767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 SALT LICK RD",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633761288",
            "telephone_number": "618-401-1767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINETIC CARE CHIROPRACTIC & REHABILITATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-20",
        "last_updated": "2016-03-01",
        "status": "A",
        "authorized_official_last_name": "BYERLY",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "CHIROPRACTIC PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "618-401-1767",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2015015035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Peters, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2016; 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.