NPIMap

Organization Active NPI

Premier Chiropractic and Acupuncture Center LLC

  • Chiropractor
  • Saint Louis, MO
National Provider Identifier
1972908531
Registry record updated Oct 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2008016211 Issued in MO
Legal business name
PREMIER CHIROPRACTIC AND ACUPUNCTURE CENTER LLC
Practice address
50 Crestwood Executive Ctr
Ste 202
Saint Louis, MO 63126-1945
Phone
(314) 485-5252
NPI assigned
Oct 24, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2014

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

Authorized official

Name
Kimberly FariasNPI 1558521336
Title
Member
Phone
(314) 485-5252

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2008016211 MO Primary

Addresses

Primary practice location

50 Crestwood Executive Ctr
Ste 202
Saint Louis, MO 63126-1945

Mailing address

50 Crestwood Executive Ctr
Ste 202
Saint Louis, MO 63126-1945

National Provider Directory

National Provider Directory

Locations

50 Crestwood Executive Ctr
Ste 202
Saint Louis, MO 63126
Phone (314) 485-5252

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": "1414108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414540800000",
    "number": "1972908531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 CRESTWOOD EXECUTIVE CTR",
            "address_2": "STE 202",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631261945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 CRESTWOOD EXECUTIVE CTR",
            "address_2": "STE 202",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631261945",
            "telephone_number": "314-485-5252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER CHIROPRACTIC AND ACUPUNCTURE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-24",
        "last_updated": "2014-10-29",
        "status": "A",
        "authorized_official_last_name": "FARIAS",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "314-485-5252"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2008016211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Oct 29, 2014; 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.