Organization Active NPI

Crossroads Family Chiropractic

  • Chiropractor
  • Saint Charles, MO
National Provider Identifier
1982939609
Registry record updated Oct 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2009023109 Issued in MO
Legal business name
CROSSROADS FAMILY CHIROPRACTIC
Practice address
603 N Duchesne Dr
Saint Charles, MO 63301-1436
Phone
(773) 860-5187
NPI assigned
Oct 14, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2009

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

Authorized official

Name
Dr. Kathyrn Margaret Smith, D.C.
Title
Owner
Phone
(773) 860-5187

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2009023109 MO Primary

Addresses

Primary practice location

603 N Duchesne Dr
Saint Charles, MO 63301-1436

Mailing address

603 N Duchesne Dr
Saint Charles, MO 63301-1436
Phone (773) 860-5187

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1255478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255478400000",
    "number": "1982939609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 N DUCHESNE DR",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633011436",
            "telephone_number": "773-860-5187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 N DUCHESNE DR",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633011436",
            "telephone_number": "773-860-5187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSROADS FAMILY CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-14",
        "last_updated": "2009-10-14",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "KATHYRN",
        "authorized_official_middle_name": "MARGARET",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-860-5187",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2009023109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Charles, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2009; 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.