Missouri Injury Clinics West, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

MISSOURI INJURY CLINICS WEST, LLC

Practice address

2163 W Terra LN
O Fallon, MO 63366-2366

Phone

(636) 262-3086

NPI assigned

Feb 6, 2025

Organization subpart

No

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

Authorized official

Name

Joseph L Hollingsworth, DCNPI 1154779072

Title

Manager

Phone

(636) 262-3086

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.

• Joseph L. Hollingsworth, D.C.

  • Chiropractor
  • Chesterfield, MO
  • NPI 1154779072
  NPD Authorized official

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

{
    "created_epoch": "1738800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738800000000",
    "number": "1962216119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2163 W TERRA LN",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633662366",
            "telephone_number": "636-262-3086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2163 W TERRA LN",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633662366",
            "telephone_number": "636-262-3086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSOURI INJURY CLINICS WEST, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-06",
        "last_updated": "2025-02-06",
        "certification_date": "2025-02-06",
        "status": "A",
        "authorized_official_last_name": "HOLLINGSWORTH",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "636-262-3086",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Betty Mitchell, NP
• Nikkeia Denise Mitchell, DPT
• Erin Mittler
• Mo Specialty Dental Services, LLC
• Mark Moan, DMD

• Clinic/Center in O Fallon, MO
• Providers in O Fallon, MO by specialty
• Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2025; 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.