Individual provider Active NPI

John Groerich, DC

  • Chiropractor
  • Richmond Heights, MO
National Provider Identifier
1194115998
Registry record updated Sep 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2015001863 Issued in MO
Practice address
1034 S Brentwood Blvd
Ste 300B
Richmond Heights, MO 63117-1203
Phone
(314) 456-2761
Fax
(314) 644-2309
NPI assigned
Jan 31, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2015001863 MO Primary

Addresses

Primary practice location

1034 S Brentwood Blvd
Ste 300B
Richmond Heights, MO 63117-1203

Mailing address

1034 S Brentwood Blvd
Ste 300B
Richmond Heights, MO 63117-1203
Phone (314) 456-2761

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161110002065 MO Practitioner - Chiropractic 9739468943 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

950 Francis PL
Suite 217
Clayton, MO 63105-2465
Phone (314) 644-2081

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Groerich Chiropractic and Wellness LLC Chiropractor CurrentSince Oct 19, 2016 Accepting new patients
Olalani Holdings LLC PastSince Feb 1, 2020 Accepting new patients
Inmotion Chiropractic Health Center P.C. Chiropractor Past Accepting new patients

Locations

1034 S Brentwood Blvd
Ste 300B
Saint Louis, MO 63117
Phone (314) 456-2761

950 Francis Pl
Ste 217
Saint Louis, MO 63105
Phone (314) 502-7637

Organizations & group practices 3

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": "1422662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473724800000",
    "number": "1194115998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1034 S BRENTWOOD BLVD",
            "address_2": "STE 300B",
            "city": "RICHMOND HEIGHTS",
            "state": "MO",
            "postal_code": "631171203",
            "telephone_number": "314-456-2761",
            "fax_number": "314-644-2309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1034 S BRENTWOOD BLVD",
            "address_2": "STE 300B",
            "city": "RICHMOND HEIGHTS",
            "state": "MO",
            "postal_code": "631171203",
            "telephone_number": "314-456-2761",
            "fax_number": "314-644-2309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROERICH",
        "first_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-01-31",
        "last_updated": "2016-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2015001863",
            "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 Sep 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.