DEVEREUX CHIROPRACTIC AND ACUPUNCTURE LLC (NPI# 1902163124) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902163124 |
| Entity Type | Organization |
| Organization Name | DEVEREUX CHIROPRACTIC AND ACUPUNCTURE LLC |
| Practice Address |
4500 Telegraph Rd Suite 104 St. Louis MO 63129 |
| Practice Telephone | 3148941842 |
| Mailing Telephone | 3148941842 |
| Enumeration Date | 2012-04-12 |
| Last Update Date | 2012-04-12 |
| Authorized Official Name | DR. SCOTT LOUIS DEVEREUX (OWNER) |
| Authorized Official Telephone | 3148941842 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 006736 | MO | Chiropractic Providers |
| Street Address |
4500 TELEGRAPH RD SUITE 104 |
| City | ST. LOUIS |
| State | MO |
| Zip Code | 63129 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447730742 | Total Access Urgent Care, PC | Clinic/Center | 4400 Telegraph Road, 4400 Telegraph Road, St. Louis, MO 63129 | 2018-08-16 |
| 1679061808 | Susan Swyers Grogan | Occupational Therapist | 2806 Flamewood Drive, St. Louis, MO 63129 | 2018-04-24 |
| 1376073981 | Eric Piatchek | Specialist/Technologist | 2661 Bluff Ridge Drive, St. Louis, MO 63129 | 2017-06-15 |
| 1033647144 | Keona E Smith | Nurse Practitioner | 7334 Lindbergh Blvd, Ballwin, MO 63129 | 2017-06-02 |
| 1588036966 | Sarah Michelle Corry | Occupational Therapist | 5043 Telegraph Rd, St Louis, MO 63129 | 2015-10-26 |
| 1598169120 | Vivian Carr | Counselor | 5266 Sir Bors Drive, St. Louis, MO 63129 | 2014-10-10 |
| 1982044327 | Andrew Michael Bryant | Family Medicine | 4280 Mid America Lane, Saint Louis, MO 63129 | 2013-06-30 |
| 1306185533 | John Alexander Miller | Registered Nurse | 4220 Robert Koch Hospital Rd, Saint Louis, MO 63129 | 2013-02-07 |
| 1346597457 | Pain and Performance Relief LLC | Physical Medicine & Rehabilitation | 4175 Crescent Dr Ste A, Saint Louis, MO 63129 | 2012-08-08 |
| 1366721516 | Teresa Lyn Bitter | Speech-Language Pathologist | 7325 Summerview Manor Lane, St. Louis, MO 63129 | 2011-08-05 |
| Find all providers in zip 63129 | ||||
| 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 |
|---|---|---|---|---|
| 1871063057 | Clayton Pain Clinic, LLC | Chiropractor | 225 S Meramec #306, St. Louis, MO 63105-6310 | 2018-11-29 |
| 1568876456 | Smart Pain Solutions | Chiropractor | 2431 North Grand Blvd., St. Louis, MO 63106-1018 | 2014-06-18 |
| 1871930032 | Rachel Michele Gill | Chiropractor | 11d Worthington Access Dr., St. Louis, MO 63043 | 2013-05-29 |
| 1003133893 | William Richard Humphrey II | Chiropractor | 5615 Pershing, Suite 22, St. Louis, MO 63112 | 2010-05-03 |
| 1396911350 | Mitchell Eli Davis | Chiropractor | 4144 Lindell Blvd Ste 319, St. Louis, MO 63108-2953 | 2008-04-30 |
| 1184755142 | John Michael Blalock | Chiropractor | 4615 Hampton Ave., St. Louis, MO 63109-2715 | 2007-03-08 |
| 1295821783 | Ronald Vincent Arconati | Chiropractor | 5684 Telegraph Road, St. Louis, MO 63129 | 2006-10-04 |
| 1629162235 | Kevin Gerard Gentemann | Chiropractor | 10028 Manchester Rd, Suite 209, St. Louis, MO 63122 | 2006-10-03 |
| 1386737047 | Eritrea Michael Tecletsion | Chiropractor | 5219 Delmar Blvd, St. Louis, MO 63108 | 2006-10-02 |
| 1477563823 | Nofa Jane Shibley | Chiropractor | 625 N Euclid, #225, St. Louis, MO 63108 | 2006-08-08 |
| 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.