Active NPI
Chiro One Wellness Center of Richmond Heights LLC
- Chiropractor
- Richmond Heights, MO
National Provider Identifier
1003434994
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- CHIRO ONE WELLNESS CENTER OF RICHMOND HEIGHTS LLC
- Practice address
- 32 The Boulevard Saint Louis
Richmond Heights, MO 63117-1122 - Phone
- (630) 468-1824
- NPI assigned
- Jul 8, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Stuart Bernsen
- Title
- Ceo
- Phone
- (630) 320-6400
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | Primary |
Addresses
Primary practice location
32 The Boulevard Saint Louis
Richmond Heights, MO 63117-1122
Mailing address
2625 Butterfield Rd Ste 301N
Oak Brook, IL 60523-1266
Phone (630) 468-1824
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
32 The Boulevard Saint Louis
Richmond Heights, MO 63117
Phone (314) 666-6235
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Wentzville, MO
- NPI 1609690866
-
- Chiropractor
- Chesterfield, MO
- NPI 1033002647
-
- Chiropractor
- Richmond Heights, MO
- NPI 1336817378
-
- Chiropractor
- Evanston, IL
- NPI 1386691566
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594166400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1679270400000",
"number": "1003434994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2625 BUTTERFIELD RD STE 301N",
"city": "OAK BROOK",
"state": "IL",
"postal_code": "605231266",
"telephone_number": "630-468-1824"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "32 THE BOULEVARD SAINT LOUIS",
"city": "RICHMOND HEIGHTS",
"state": "MO",
"postal_code": "631171122",
"telephone_number": "630-468-1824"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHIRO ONE WELLNESS CENTER OF RICHMOND HEIGHTS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-07-08",
"last_updated": "2023-03-20",
"certification_date": "2023-03-20",
"status": "A",
"authorized_official_last_name": "BERNSEN",
"authorized_official_first_name": "STUART",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "630-320-6400"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richmond Heights, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.