Florissant Chiropractic and Rehab LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

FLORISSANT CHIROPRACTIC AND REHAB LLC

Practice address

1265 Graham Rd
Florissant, MO 63031-8018

Phone

(314) 395-6200

NPI assigned

Apr 28, 2021

Last updated

Apr 28, 2021By 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

Dr. Branden Race, DC

Title

Vice President

Phone

(636) 345-8400

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1619568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619568000000",
    "number": "1962084905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1265 GRAHAM RD",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630318018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1265 GRAHAM RD",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630318018",
            "telephone_number": "314-395-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORISSANT CHIROPRACTIC AND REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-28",
        "last_updated": "2021-04-28",
        "certification_date": "2021-04-28",
        "status": "A",
        "authorized_official_last_name": "RACE",
        "authorized_official_first_name": "BRANDEN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "636-345-8400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danita Flakes, MSW, LCSW, ICADC
• Jonette Fleming
• Flex Care LLC
• Flo-GP Leasing Co., LLC (Crystal Creek Health and Rehabilitation Center)
• Florida Home Health & Therapy
• Florissant Chiropractic Center Inc
• Florissant Dental Care-Ronald K Greif, DDS-Samir Ruvinov, DDS, LLC (Florissant Dental Care)
• Florissant Healthcare, LLC
• Florissant Injury and Pain Relief
• Florissant Medical Investors LLC (HealthBridge St. Louis)

• Chiropractor in Florissant, MO
• Providers in Florissant, MO by specialty
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2021; 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.