SPINAL DECOMPRESSION INC NPI 1306045901

NPI Information

NPI: 1306045901
Provider Name: SPINAL DECOMPRESSION INC
Classification: Durable Medical Equipment & Medical Supplies - 332BC3200X
Entity Type: Organization

Specialization: Customized Equipment

Address:
16223 BAXTER RD
CHESTERFIELD, MO
ZIP 63017
Phone: (636) 536-2304
Get Directions

SPINAL DECOMPRESSION INC is a customized equipment durable medical equipment medical supplies in Chesterfield, MO. SPINAL DECOMPRESSION INC NPI is 1306045901. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

16223 BAXTER RD
CHESTERFIELD, MO
ZIP 63017-777
Phone: (636) 536-2304

The provider's authorized official is Donald B Havey .
The authorized official title is President and has the following contact phone number (636) 536-2304.

The enumeration date for this NPI number is 7/13/2007 and was last updated on 2/27/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	111N00000X	Chiropractor		005552	MISSOURI	No
2	332B00000X	Durable Medical Equipment & Medical Supplies				No
3	332BC3200X	Durable Medical Equipment & Medical Supplies	Customized Equipment			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	000026201	MEDICARE PIN	MISSOURI
2	5985410001	MEDICARE NSC

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »