CHIROPRACTIC WELLNESS CENTER OF ST LOUIS LLC (NPI# 1508158445) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508158445 |
| Entity Type | Organization |
| Organization Name | CHIROPRACTIC WELLNESS CENTER OF ST LOUIS LLC |
| Other Organization Name | CHIROPRACTIC WELLNESS CENTER OF SOUTH COUNTY |
| Practice Address |
1747 Smizer Station Rd Ste. 4 Fenton MO 63026-2784 |
| Practice Telephone | 6368256555 |
| Practice Fax Number | 6368256546 |
| Mailing Telephone | 6368256555 |
| Mailing Fax Number | 6368256546 |
| Enumeration Date | 2011-05-11 |
| Last Update Date | 2011-07-13 |
| Authorized Official Name | DR. LORENELLE LOFQUIST (OWNER) |
| Authorized Official Telephone | 6368256555 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
2011012193 | MO | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Chiropractic Wellness Center of South County | Doing Business As Name - Organization |
| Street Address |
1747 SMIZER STATION RD STE. 4 |
| City | FENTON |
| State | MO |
| Zip Code | 63026-2784 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134104466 | Brenda Lynn Buckley | Family Medicine | 1747 Smizer Station Rd, Suite 5, Fenton, MO 63026-2784 | 2005-12-09 |
| 1588285431 | Alisa M Perozo-dickerson | Advanced Practice Midwife | 1747 Smizer Station Rd, Fenton, MO 63026-2784 | 2020-05-01 |
| 1891238291 | Amber Lee Sorcic | Chiropractor | 1747 Smizer Station Rd, St. 4, Fenton, MO 63026-2784 | 2016-12-02 |
| 1346795234 | Chiropractic Wellness Center | Chiropractor | 1747 Smizer Station Rd, Fenton, MO 63026-2784 | 2016-08-20 |
| 1255613642 | Metro Foot Specialists, LLC | Podiatrist | 1747 Smizer Station Rd, Suite 3a, Fenton, MO 63026-2784 | 2011-09-13 |
| 1255632238 | Lorenelle Lofquist | Chiropractor | 1747 Smizer Station Rd, Ste 4, Fenton, MO 63026-2784 | 2010-11-08 |
| 1023280856 | Rockwood Family Medicine LLC | Family Medicine | 1747 Smizer Station Rd, Suite 3b, Fenton, MO 63026-2784 | 2008-04-01 |
| 1770789984 | Ssm Medical Group | Clinic/Center | 1747 Smizer Station Rd, Suite 6, Fenton, MO 63026-2784 | 2007-06-25 |
| 1629295712 | Saint Louis University Dba Mark Herbers, M.d. | Pediatrics | 1747 Smizer Station Rd, Suite 6, Fenton, MO 63026-2784 | 2007-04-19 |
| 1356493811 | Fenton Family Practice, LLC | Specialist | 1747 Smizer Station Rd, Suite 5, Fenton, MO 63026-2784 | 2007-01-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871000372 | Allison Egler | Audiologist | 1011 Bowles Ave Ste 405, Fenton, MO 63026 | 2018-01-05 |
| 1629508213 | Holly Brooks Munson | Massage Therapist | 220 Copper Mountain Dr, Fenton, MO 63026 | 2017-06-15 |
| 1073978862 | Naomi Sharon | Nurse Practitioner | 1101 Bowles Avenue, Suite G50, Fenton, MO 63026 | 2015-12-21 |
| 1871981704 | Celtic Private Care of Il & Mo, LLC | In Home Supportive Care | 1653 Larkin Williams Road, Suite 201, Fenton, MO 63026 | 2014-12-30 |
| 1356747513 | Kristina Potts | Nurse Practitioner | 774 Gravois Bluffs Blvd Ste B, Fenton, MO 63026 | 2014-11-14 |
| 1245642420 | Physicians Health Group Medical Inc | General Practice | 960 S. Highway Dr, Fenton, MO 63026 | 2014-05-22 |
| 1598047409 | Kevin Eugene Bruce | Pharmacist | 1210 Sugar Creek, Fenton, MO 63026 | 2011-09-16 |
| 1215186382 | Concentra Health Services, Inc. | Clinic/Center | 128 Matrix Commons Dr., Fenton, MO 63026 | 2008-09-15 |
| 1790954410 | Castlewood Treatment Center LLC | Community/Behavioral Health | 1855 Bowles Ave, Suite 210, Fenton, MO 63026 | 2008-02-27 |
| 1073703617 | Christina R Baeres | Dietitian, Registered | 38 Majestic Ct, Fenton, MO 63026 | 2007-07-30 |
| Find all providers in zip 63026 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447883053 | Fenton Massage Company | Clinic/Center | 1250 N Leroy St, Fenton, MI 48430-2760 | 2020-02-21 |
| 1902228265 | Komlacare | Clinic/Center | 1639 Spring Chase Dr, Fenton, MO 63026-6964 | 2014-01-06 |
| 1215186382 | Concentra Health Services, Inc. | Clinic/Center | 128 Matrix Commons Dr., Fenton, MO 63026 | 2008-09-15 |
| 1689238586 | Delta Health | Clinic/Center | 2117 Bentley Plz, Fenton, MO 63026-2124 | 2019-04-25 |
| 1942606637 | Occupational Health Centers of Kansas Pa | Clinic/Center | 128 Matrix Commons Dr, Fenton, MO 63026-2935 | 2014-11-07 |
| 1134525835 | Us Medgroup of Kansas Pa | Clinic/Center | 128 Matrix Commons Dr, Fenton, MO 63026-2935 | 2014-11-07 |
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| 1669071106 | Serenity Chiropractic, LLC | Clinic/Center | 2870 Ne Kendallwood Pkwy Ste B, Gladstone, MO 64119-2026 | 2020-10-24 |
| 1154931517 | Marvin Optometry, P.C. | Clinic/Center | 1405 S Hanley Rd Ste B, Saint Louis, MO 63144-2902 | 2020-07-31 |
| 1184242067 | Viola Marie Martin | Clinic/Center | 929 N Highway 71, Anderson, MO 64831-9753 | 2020-07-08 |
| 1497379358 | Innovative Occupational Therapy Solutions | Clinic/Center | 1044 Poplar Dr, Saint Louis, MO 63125-5022 | 2020-06-05 |
| 1366089443 | Gilligan Nutrition Counseling LLC | Clinic/Center | 10104 Conway Rd, Saint Louis, MO 63124-1240 | 2019-12-08 |
| 1063053445 | Jason T Vollmecke Dc LLC | Clinic/Center | 12500 E Us Highway 40 Ste K, Independence, MO 64055-5947 | 2019-10-07 |
| 1003469982 | Tms Institute of White Oak Psychiatry LLC | Clinic/Center | 4045 Ne Lakewood Way Ste 130a, Lees Summit, MO 64064-1799 | 2019-07-19 |
| 1053875716 | Columbia Health & Wellness Center, LLC | Clinic/Center | 3304 W Broadway Business Park Ct Ste I, Columbia, MO 65203-0109 | 2019-01-28 |
| 1518432996 | Rejuvenating Counseling Services LLC | Clinic/Center | 1305 Sw Pebble Ln, Lees Summit, MO 64082-4418 | 2018-10-11 |
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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.