DR. JINTANA J LATZER (NPI# 1114131372) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114131372 |
| Entity Type | Individual |
| Full Name | DR. JINTANA J LATZER |
| Credential | DC |
| Practice Address |
2821 N Ballas Rd Suite C5 St Louis MO 63131 |
| Practice Telephone | 3144327979 |
| Practice Fax Number | 3144327979 |
| Mailing Telephone | 3144327979 |
| Mailing Fax Number | 3144327979 |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 5892 | MO | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | BCBS | 2880 | 01 |
| MO | HEALTHLINK | 139952 | 01 |
| Street Address |
2821 N BALLAS RD SUITE C5 |
| City | ST LOUIS |
| State | MO |
| Zip Code | 63131 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770643108 | Joseph Frank Unger Jr. | Chiropractor | 2821 N Ballas Rd, Suite 105, St Louis, MO 63131-2314 | 2006-12-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568097954 | Avalcare Inc | Pharmacy | 10431 Clayton Rd, Saint Louis, MO 63131 | 2020-03-06 |
| 1891331369 | Life Clinic of Mo Dc PC | Chiropractor | 2051 South Lindbergh Blvd, Frontenac, MO 63131 | 2019-11-20 |
| 1447892542 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 30 S Lindbergh Blvd, Saint Louis, MO 63131 | 2019-10-10 |
| 1336797026 | Justa Davis | Dietitian, Registered | 3015 North Ballas, Saint Louis, MO 63131 | 2019-08-27 |
| 1730695362 | Curators of The University of Missouri | Psychologist | 12837 Flushing Meadows Drive, Sutie 220, Town and Country, MO 63131 | 2017-12-19 |
| 1770012031 | Danielle Marie Hargate | Specialist/Technologist | 732 Timber Trail, Frontenac, MO 63131 | 2017-06-08 |
| 1285087429 | Kathryn Parker | Internal Medicine | 1000 Des Peres Rd Ste 300, Saint Louis, MO 63131 | 2016-07-22 |
| 1437524360 | Julie Ann Godefroid | Nurse Practitioner | 1010 Old Des Peres Road, St. Louis, MO 63131 | 2015-12-03 |
| 1073982435 | Rebecca Baum Rainbolt | Social Worker | 12210 Clayton Rd, Saint Louis, MO 63131 | 2015-09-16 |
| 1518217322 | Advanced Anesthesia and Pain Management, LLC | Anesthesiology | 12805 Topping Woods Estate Drive, St. Louis, MO 63131 | 2012-09-19 |
| Find all providers in zip 63131 | ||||
| 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 |
|---|---|---|---|---|
| 1659582104 | John Michael Bott | Chiropractor | 8787 Big Bend, St Louis, MO 63119 | 2007-05-25 |
| 1083736243 | Gary Jean Jameson | Chiropractor | 2901 S Brentwood Blvd, St Louis, MO 63144 | 2007-04-06 |
| 1720108004 | David Gerard Hartmann | Chiropractor | 5226 S Lindbergh Blvd, St Louis, MO 63126-3519 | 2007-03-30 |
| 1912038308 | Richard Wayne Cranwell | Chiropractor | 11705 Gravois Road, St Louis, MO 63127 | 2007-03-08 |
| 1043340482 | Paulette Chiropractic and Acupuncture | Chiropractor | 6341 Clayton Road, St Louis, MO 63117 | 2007-03-06 |
| 1720122401 | Devereux Chiropractic & Acupuncture LLC | Chiropractor | 4500 Telegraph, Suite 104, St Louis, MO 63129 | 2007-02-16 |
| 1942352109 | Mary Patricia Ganley | Chiropractor | 3470 Hampton Ave, Suite 102, St Louis, MO 63139-1936 | 2007-01-17 |
| 1215089867 | Keith D Berger | Chiropractor | 8135 Delmar Blvd, St Louis, MO 63130-3729 | 2007-01-16 |
| 1932266509 | David Kurt Wipperman | Chiropractor | 11639 Studt Avenue, St Louis, MO 63141-7015 | 2007-01-03 |
| 1144398215 | Walter J Foland Jr. | Chiropractor | 4582 Telegraph Road, St Louis, MO 63129-3318 | 2006-11-30 |
| Find all providers in ST LOUIS | ||||
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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.