SPINAL DECOMPRESSION INC (NPI# 1306045901) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306045901 |
| Entity Type | Organization |
| Organization Name | SPINAL DECOMPRESSION INC |
| Practice Address |
16223 Baxter Rd Chesterfield MO 63017-4777 |
| Practice Telephone | 6365362304 |
| Mailing Telephone | 6365362304 |
| Enumeration Date | 2007-07-13 |
| Last Update Date | 2009-02-27 |
| Authorized Official Name | DR. DONALD B HAVEY (PRESIDENT) |
| Authorized Official Telephone | 6365362304 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 111N00000X | Chiropractor | 005552 | MO | Chiropractic Providers |
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
Suppliers |
| Street Address |
16223 BAXTER RD |
| City | CHESTERFIELD |
| State | MO |
| Zip Code | 63017-4777 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477746725 | Donald Brian Havey | Chiropractor | 16223 Baxter Rd, Chesterfield, MO 63017-4777 | 2007-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114549193 | Kathryn E Bos | Student in an Organized Health Care Education/Training Program | 873 Apt N Foxsprings Dr, Chesterfield, MO 63017 | 2020-05-12 |
| 1700415171 | Charles H. Edwards | Physical Therapist | 224 South Woods Millrd., Suite 610 South, Chesterfield, MO 63017 | 2020-04-07 |
| 1003454562 | Stephanie Henningsen | Physical Therapy Assistant | 307 S Woods Rd, Chesterfield, MO 63017 | 2019-12-16 |
| 1831746296 | Star Lynn Sutton | Occupational Therapy Assistant | 15207 Olive Boulevard, Chesterfield, MO 63017 | 2019-08-21 |
| 1639738438 | Van Amburg & Busiek Md's, LLC | Pharmacy | 232 S Woodsmill Road, Suite 330 East, Chesterfield, MO 63017 | 2019-06-06 |
| 1306306865 | Margaret Mary Wynn | Nurse Practitioner | 15740 South Outer Road, Chesterfield, MO 63017 | 2019-03-21 |
| 1205393089 | Kimberly Danielle | Nurse Practitioner | 744 Forest Trace Dr, Chesterfield, MO 63017 | 2019-02-27 |
| 1457823965 | Allison Joy Mcgrail | Dietitian, Registered | 45740 S Outer Forty Rd, Chesterfield, MO 63017 | 2018-12-21 |
| 1316418080 | Julie Lefere | Social Worker | Mercy Virtual Care Center, 15740 S Outer 40 Rd, Chesterfield, MO 63017 | 2018-12-06 |
| 1336629641 | Catherine Dolphin Smith | Nurse Practitioner | 224 S Woods Mill Rd Ste 500, Chesterfield, MO 63017 | 2018-08-16 |
| Find all providers in zip 63017 | ||||
| Taxonomy Code | 332BC3200X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Customized Equipment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053555417 | Advanced Custom Orthotics, Inc. | Durable Medical Equipment & Medical Supplies | 17600 Chesterfield Airport Rd, Ste B5, Chesterfield, MO 63005-1246 | 2009-04-28 |
| 1235124165 | Med Resources Retail, LLC | Durable Medical Equipment & Medical Supplies | 1688 Clarkson Rd, Chesterfield, MO 63017-4601 | 2005-09-16 |
| 1881808483 | The Orthopedic Center of St Louis LLC | Durable Medical Equipment & Medical Supplies | 14825 N Outer 40 Rd Ste 200, Chesterfield, MO 63017-2152 | 2007-05-10 |
| 1518952449 | Med Resources, Inc. | Durable Medical Equipment & Medical Supplies | 14805 N Outer 40 Rd, Suite 100, Chesterfield, MO 63017-6060 | 2005-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033759873 | Jonathan R Ehlers Dds PC | Durable Medical Equipment & Medical Supplies | 991 Winchester Dr Ste 1, Sedalia, MO 65301-2553 | 2020-01-09 |
| 1881240349 | Jerry Lee Long Jr. | Durable Medical Equipment & Medical Supplies | 6654 Bitteroot Ln, Saint Louis, MO 63134-1451 | 2019-08-12 |
| 1558868703 | Sleep Better Missouri LLC | Durable Medical Equipment & Medical Supplies | 1531 E Bradford Pkwy Ste 210-4, Springfield, MO 65804-6539 | 2018-04-12 |
| 1376082156 | Central States Medical Distributors LLC | Durable Medical Equipment & Medical Supplies | 9006 Ne 80th St, Kansas City, MO 64158-7604 | 2017-02-14 |
| 1710424148 | Billie Bleckler | Durable Medical Equipment & Medical Supplies | 11429 Panther Ridge Dr, Ste Genevieve, MO 63670-7173 | 2017-01-24 |
| 1942751086 | Cherry Hill Dental Associates Inc | Durable Medical Equipment & Medical Supplies | 923 S Country Club Dr, Jefferson City, MO 65109-0352 | 2016-10-24 |
| 1295183523 | Total Respiratory and Rehab, Inc. | Durable Medical Equipment & Medical Supplies | 2112 W Vista St, Springfield, MO 65807-5918 | 2016-05-26 |
| 1255721114 | United Seating and Mobility LLC | Durable Medical Equipment & Medical Supplies | 131 Progress Pkwy, Sullivan, MO 63080-2359 | 2015-01-30 |
| 1326460502 | Rita's Hearing Center and Repairs | Durable Medical Equipment & Medical Supplies | 1914 N Plymouth Rd, Independence, MO 64058-1321 | 2014-01-07 |
| 1215368360 | Mike Stuart Enterprises, Inc. | Durable Medical Equipment & Medical Supplies | 1811 W Sunset St, Springfield, MO 65807-5901 | 2013-11-27 |
| Find all providers with the same taxonomy | ||||
| City | CHESTERFIELD |
| Zip Code | 63017 |
Please comment or provide details below to improve the information on SPINAL DECOMPRESSION INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.