Missouri Healthcenters LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

MISSOURI HEALTHCENTERS LLC

Practice address

11104 Veterans Memorial Pkwy
Lake St Louis, MO 63367-1113

Phone

(636) 625-6000

NPI assigned

May 20, 2020

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

Title

Clinic Director

Phone

(330) 309-9550

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1589932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589932800000",
    "number": "1982227286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 SALT LICK RD # 280",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633765974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11104 VETERANS MEMORIAL PKWY",
            "city": "LAKE ST LOUIS",
            "state": "MO",
            "postal_code": "633671113",
            "telephone_number": "636-625-6000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "54 The Legends Pkwy Ste 158",
            "address_purpose": "LOCATION",
            "city": "Eureka",
            "state": "MO",
            "postal_code": "630253803",
            "country_code": "US",
            "telephone_number": "636-625-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MISSOURI HEALTHCENTERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-20",
        "last_updated": "2020-05-20",
        "certification_date": "2020-05-20",
        "status": "A",
        "authorized_official_last_name": "RACE",
        "authorized_official_first_name": "BRANDEN",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "330-309-9550",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Adelle Miller, M.D.
• Julie Kathryn Miller, FNP
• Robert E Mills Jr., DPT
• Missouri Cancer Care PC
• Missouri CVS Pharmacy, L.L.C.
• Shannon J Mitchell
• Frank Delbert Moeller, MD
• Katherine McKean Moore, PHARMD
• Tamara Nicole Moore, PLPC
• Juli Ann Mork, OTR

• Chiropractor in Lake St Louis, MO
• Providers in Lake St Louis, MO by specialty
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2020; 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.