JOHN C SMITH JR INC (NPI# 1689600157) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689600157 |
| Entity Type | Organization |
| Organization Name | JOHN C SMITH JR INC |
| Practice Address |
249 Clarkson Rd #101 Ellisville MO 63011-2219 |
| Mailing Address |
249 Clarkson Rd # 101 Ellisville MO 63011-2497 |
| Practice Telephone | 6362560707 |
| Mailing Telephone | 6362560707 |
| Enumeration Date | 2006-06-24 |
| Last Update Date | 2013-08-13 |
| Authorized Official Name | JOHN SMITH JR. (OWNER) |
| Authorized Official Telephone | 6362560707 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | Chiropractic Providers |
| Street Address |
249 CLARKSON RD #101 |
| City | ELLISVILLE |
| State | MO |
| Zip Code | 63011-2219 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033546056 | Experience Your Greatness | Chiropractor | 249 Clarkson Rd, Suite 101, Ellisville, MO 63011-2497 | 2013-10-04 |
| 1851690796 | Whitney Blount | Chiropractor | 249 Clarkson Rd, Ellisville, MO 63011-2219 | 2011-03-17 |
| 1174836415 | Caryn Garriga Md LLC | Pediatrics | 249 Clarkson Rd, Suite 102, Ellisville, MO 63011-2219 | 2010-07-15 |
| 1063632693 | Melvin L. French | Psychologist | 249 Clarkson Rd, Suite 102, Ellisville, MO 63011-2497 | 2007-04-26 |
| 1366583122 | Caryn L Garriga | Pediatrics | 249 Clarkson Rd, Suite 102, Ellisville, MO 63011-2219 | 2007-02-12 |
| 1154428076 | Nicole R. Kruger | Psychologist | 249 Clarkson Rd, Suite 102, Ellisville, MO 63011-2219 | 2006-09-20 |
| 1447288071 | John Smith Jr. | Chiropractor | 249 Clarkson Rd, #101, Ellisville, MO 63011-2219 | 2006-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205309234 | Heather Renee Leone | Nurse Practitioner | 452 Sovereign Court Suite A, Ballwin, MO 63011 | 2019-01-02 |
| 1538635297 | Jennifer Lea Nicole O'donnell | Registered Nurse | 13861 Manchester Road, Town and Country, MO 63011 | 2018-10-22 |
| 1285127712 | Genevieve Friedmann | Social Worker | 301 Sovereign Ct Ste 103, Ballwin, MO 63011 | 2018-06-09 |
| 1881187391 | Andrew Cittadino Link | Dentist | 14335 Manchester Road, Ballwin, MO 63011 | 2018-06-08 |
| 1972041283 | Anavan LLC | Durable Medical Equipment & Medical Supplies | 14390 Manchester Rd, Saint Louis, MO 63011 | 2017-02-07 |
| 1780131300 | Autism and Behavioral Spectrum LLC | Day Training, Developmentally Disabled Services | 14733 Clayton Road, Chesterfield, MO 63011 | 2016-09-01 |
| 1265872964 | Eryn Nichole Miner | Behavioral Analyst | 15834 Clayton Road, Ellisville, MO 63011 | 2013-06-27 |
| 1194168765 | Donna Margaret Carrillo | Developmental Therapist | 15834 Clayton Rd., Ellisville, MO 63011 | 2013-04-12 |
| 1891047486 | Ashley Amanda Battaglia | Chiropractor | 15945 Clayton Rd Ste 230c, Ballwin, MO 63011 | 2012-10-08 |
| 1750658480 | Gary Frank Sobocinski | Pharmacist | 4033 Sovereign Court, Ballwin, MO 63011 | 2011-11-23 |
| Find all providers in zip 63011 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285005454 | Lynne Gibbs | Chiropractor | 177 Clarkson Executive Park, Ellisville, MO 63011-2176 | 2015-10-14 |
| 1649614454 | Dustin C Hargadine | Chiropractor | 249 Clarkson Rd Ste 101, Ellisville, MO 63011-2497 | 2013-04-23 |
| 1790018836 | Daniel Michael Fazio | Chiropractor | 179 Clarkson Executive Park, Ellisville, MO 63011-2176 | 2009-09-08 |
| 1407007651 | James Austin Mcdaniel IIi | Chiropractor | 170 Clarkson Executive Park, Ellisville, MO 63011-2114 | 2008-10-07 |
| 1003097452 | Copeland Chiropractic PC | Chiropractor | 113 Old State Rd Ste 202, Ellisville, MO 63021-2042 | 2007-11-14 |
| 1790973535 | Melissa Sheahan | Chiropractor | 16021 Manchester Road, Ellisville, MO 63011 | 2007-10-05 |
| 1508991084 | Leslie Anne Reid | Chiropractor | 16075 Manchester Rd, Ellisville, MO 63011-2103 | 2007-02-23 |
| 1619028792 | Melissa Rose Banyai | Chiropractor | 281 Clarkson Rd, Suite 101, Ellisville, MO 63011-2281 | 2007-01-15 |
| 1477667780 | Laurie Burke | Chiropractor | 242 Clarkson Rd, Ellisville, MO 63011-2245 | 2006-08-17 |
| 1508496480 | Alexandra Johler | Chiropractor | 355 Ozark Trail Dr Ste 9, Ellisville, MO 63011-2164 | 2020-01-20 |
| Find all providers in ELLISVILLE | ||||
| City | ELLISVILLE |
| Zip Code | 63011 |
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| 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.