Active NPI
Robbin R Doermer, D.C.
- Chiropractor
- Ballwin, MO
National Provider Identifier
1053657239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2012034524
- Practice address
- 161 Auld Spanish CT
Ballwin, MO 63011-3711 - Phone
- (636) 236-9790
- NPI assigned
- Dec 17, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2012034524 | MO | Primary |
Addresses
Primary practice location
161 Auld Spanish CT
Ballwin, MO 63011-3711
Mailing address
PO Box 1439
Ballwin, MO 63022-1439
Phone (636) 236-9790
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1355702400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1355702400000",
"number": "1053657239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1439",
"city": "BALLWIN",
"state": "MO",
"postal_code": "630221439",
"telephone_number": "636-236-9790"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "161 AULD SPANISH CT",
"city": "BALLWIN",
"state": "MO",
"postal_code": "630113711",
"telephone_number": "636-236-9790"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOERMER",
"first_name": "ROBBIN",
"middle_name": "R",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-12-17",
"last_updated": "2012-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MO",
"license": "2012034524",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ballwin, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.