Active NPI
Kinetic Care Chiropractic & Rehabilitation, LLC
- Chiropractor
- Saint Peters, MO
National Provider Identifier
1912379769
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2015015035
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 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 DirectoryLocations
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.