Organization Active NPI

Vassel'S LLC

  • Pedorthist
  • Saint Louis, MO
National Provider Identifier
1972065688
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PedorthistTaxonomy code 224L00000X
Legal business name
VASSEL'S LLC
Practice address
10421 W Florissant Ave
Saint Louis, MO 63136-2342
Phone
(314) 885-0359
NPI assigned
Apr 2, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Authorized official

Name
Jaquan Vassel, C.PED, BOCPDNPI 1093241564
Title
Owner/Head Pedorthist
Phone
(314) 885-0359

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PedorthistGroup: 193400000X SINGLE SPECIALTY GROUP 224L00000X Primary

Addresses

Primary practice location

10421 W Florissant Ave
Saint Louis, MO 63136-2342

Mailing address

10421 W Florissant Ave
Saint Louis, MO 63136-2342
Phone (314) 885-0359

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jaquan@vassel.xyz Direct Vassel's LLC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1554163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701043200000",
    "number": "1972065688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10421 W FLORISSANT AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631362342",
            "telephone_number": "314-885-0359",
            "fax_number": "314-474-0208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10421 W FLORISSANT AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631362342",
            "telephone_number": "314-885-0359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VASSEL'S LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-02",
        "last_updated": "2023-11-27",
        "status": "A",
        "authorized_official_last_name": "VASSEL",
        "authorized_official_first_name": "JAQUAN",
        "authorized_official_title_or_position": "OWNER/HEAD PEDORTHIST",
        "authorized_official_telephone_number": "314-885-0359",
        "authorized_official_credential": "C.PED, BOCPD"
    },
    "taxonomies": [
        {
            "code": "224L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pedorthist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jaquan@vassel.xyz",
            "affiliation": "Y",
            "endpointDescription": "Secure, HIPPA compliant email address",
            "affiliationName": "Vassel's LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "10421 W Florissant Ave",
            "city": "Saint Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631362342",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.