Primary Care Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

004979 Issued in MO

Legal business name

PRIMARY CARE CHIROPRACTIC LLC

Practice address

201 Enchanted Pkwy
Ballwin, MO 63021-5493

Phone

(636) 227-4151

NPI assigned

Jun 8, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Duane Marquart, DC. DACBRNPI 1851329106

Title

Owner

Phone

(636) 227-4151

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Duane Marquart, DC,DACBR

  • Chiropractor
  • Ballwin, MO
  • NPI 1851329106
  Medicare reassignment NPD Authorized official
• Ferrahs Abdelbaset, D.C.

  • Chiropractor
  • Florissant, MO
  • NPI 1437390911
  NPD (past)
• Larry Edward Burrell, D.C.

  • Chiropractor
  • Chesterfield, MO
  • NPI 1922054188
  NPD (past)
• Joshua M Fink, D.C., B.S.

  • Chiropractor
  • Dardenne Prairie, MO
  • NPI 1396749875
  NPD (past)
• Matthew Worth, DC, DACNB

  • Neurology Chiropractor
  • Valley Park, MO
  • NPI 1205922283
  NPD (past)
• Heidi Crocker, DC

  • Chiropractor
  • Whittier, CA
  • NPI 1659309839
  NPD (past)
• Matthew D Gravel, D.C.

  • Chiropractor
  • Saint Paul, MN
  • NPI 1902094840
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342569600000",
    "number": "1003856832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 800",
            "city": "MANCHESTER",
            "state": "MO",
            "postal_code": "630111100",
            "telephone_number": "636-227-4151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 ENCHANTED PKWY",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630215493",
            "telephone_number": "636-227-4151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY CARE CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-08",
        "last_updated": "2012-07-18",
        "status": "A",
        "authorized_official_last_name": "MARQUART",
        "authorized_official_first_name": "DUANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "636-227-4151",
        "authorized_official_credential": "DC. DACBR"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "004979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Ferguson Postol, DDS
• Preferred Hospice of Missouri Northeast LLC
• Premier Healthcare STL LLC
• Daniel Thomas Price, RPH
• Kelly Price, PT, DPT, ATC
• Brandon Prior, DMD
• Prorehab, PC
• Tracy L Pulley, ATC
• Michael Vincent Purcell, DDS
• Mary Beth Puri, P.L.P.C.

• Chiropractor in Ballwin, MO
• Providers in Ballwin, MO by specialty
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2012; 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.

Verify at the official NPI Registry.