Active NPI
Ratchanop Vasant, D.C.
- Chiropractor
- O'Fallon, MO
National Provider Identifier
1114294832
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2011038219
- Practice address
- 2315 Technology Dr
Suite 107
O Fallon, MO 63368-7370 - Phone
- (636) 625-8894
- NPI assigned
- Nov 23, 2011
- Last updated
- Nov 23, 2011
- Sex
- Male
- Sole proprietor
- No
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 | 2011038219 | MO | Primary |
Addresses
Primary practice location
2315 Technology Dr
Suite 107
O Fallon, MO 63368-7370
Mailing address
2315 Technology Dr
Suite 107
O Fallon, MO 63368-7370
Phone (636) 625-8894
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120125000420 | MO | Practitioner - Chiropractic | 5496931545 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Winghaven Chiropractic PC | Chiropractor | Current | Accepting new patients |
Locations
2315 Technology Dr
Ste 107
O Fallon, MO 63368
Phone (636) 625-8894
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- O'Fallon, MO
- NPI 1992836506
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1322006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1322006400000",
"number": "1114294832",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2315 TECHNOLOGY DR",
"address_2": "SUITE 107",
"city": "O FALLON",
"state": "MO",
"postal_code": "633687370",
"telephone_number": "636-625-8894"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2315 TECHNOLOGY DR",
"address_2": "SUITE 107",
"city": "O FALLON",
"state": "MO",
"postal_code": "633687370",
"telephone_number": "636-625-8894"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VASANT",
"first_name": "RATCHANOP",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-11-23",
"last_updated": "2011-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MO",
"license": "2011038219",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in O'Fallon, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2011; 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.