Active NPI
Vassel'S LLC
- Pedorthist
- Saint Louis, MO
National Provider Identifier
1972065688
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pedorthist
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jaquan Vassel, C.PED, BOCPD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pedorthist | 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jaquan@vassel.xyz | Direct | Vassel's LLC |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pedorthist
- Saint Louis, MO
- NPI 1093241564
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.