Individual provider Active NPI

Aaron Wahl, D.C.

  • Chiropractor
  • Chesterfield, MO
National Provider Identifier
1063429397
Registry record updated Sep 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2006002533 Issued in MO
Practice address
1415 Elbridge Payne Rd
Suite 145
Chesterfield, MO 63017-8538
Phone
(314) 681-8388
NPI assigned
Aug 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038-010389 IL
Chiropractor 111N00000X 2006002533 MO Primary

Addresses

Primary practice location

1415 Elbridge Payne Rd
Suite 145
Chesterfield, MO 63017-8538

Mailing address

15455 Country Mill CT
Chesterfield, MO 63017-5118
Phone (314) 681-8521

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120905000129 MO Practitioner - Chiropractic 6002831831 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
038-010389ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Wahl Health & Wellness LLC Chiropractor CurrentSince Jan 2, 2013 Accepting new patients
Browning Chiropractic Chiropractor Past Accepting new patients
The Wahls of Wellness, LLC Chiropractor PastSince Mar 1, 2005 Accepting new patients
Chiropractic Care & Sports Rehab, Inc. PastSince May 20, 2008 Accepting new patients
St. Louis Chiropractic and Injury Rehab, LLC Chiropractor Past Accepting new patients

Locations

1415 Elbridge Payne Rd
Ste 145
Chesterfield, MO 63017
Phone (314) 681-8388

744 Spirit of Saint Louis Blvd
Ste J
Chesterfield, MO 63005
Phone (314) 681-8388

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441929600000",
    "number": "1063429397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15455 COUNTRY MILL CT",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630175118",
            "telephone_number": "314-681-8521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 ELBRIDGE PAYNE RD",
            "address_2": "SUITE 145",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630178538",
            "telephone_number": "314-681-8388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAHL",
        "first_name": "AARON",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2015-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-010389",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2006002533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2015; 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.