Chiropro of Lake St. Louis, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

CHIROPRO OF LAKE ST. LOUIS, LLC

Practice address

6257 Ronald Reagan Dr
Lake St Louis, MO 63367-2665

Phone

(636) 442-0607

Fax

(636) 625-2330

NPI assigned

Feb 10, 2020

Last updated

Feb 10, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Robert Rice, DCNPI 1174620975

Title

Owner

Phone

(618) 979-0398

Specialties & licenses 1

Addresses

Locations

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.

• Robert Brandon Rice, B.S., D.C.

  • Chiropractor
  • Shiloh, IL
  • NPI 1174620975
  Authorized official Same address or phone

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

{
    "created_epoch": "1581292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581292800000",
    "number": "1922630714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1231 THOUVENOT LN STE 100",
            "city": "SHILOH",
            "state": "IL",
            "postal_code": "622697203",
            "telephone_number": "618-234-8300",
            "fax_number": "618-234-8295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6257 RONALD REAGAN DR",
            "city": "LAKE ST LOUIS",
            "state": "MO",
            "postal_code": "633672665",
            "telephone_number": "636-442-0607",
            "fax_number": "636-625-2330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRO OF LAKE ST. LOUIS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-10",
        "last_updated": "2020-02-10",
        "certification_date": "2020-02-10",
        "status": "A",
        "authorized_official_last_name": "RICE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "618-979-0398",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rick Cavins
• Cep America LLC
• Hollye Renee Chaumont, MA, PLPC
• Yu Chen, M.D.
• Deena Basima Chihade, M.D.
• Baylee Jo Chrismore, MOT, OTR/L
• Amanda Chu, MD
• Michael F. Cissell, DDS
• Rachel Louise Closser, FNP-C
• Edward Cohen, MD

• Chiropractor in Lake St Louis, MO
• Providers in Lake St Louis, MO by specialty
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2020; 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.