Active NPI
Koelling & Turnbull Chiropractic Center, P.C.
- Sports Physician Chiropractor
- Saint Peters, MO
National Provider Identifier
1215112040
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- License
- 005857
- Legal business name
- KOELLING & TURNBULL CHIROPRACTIC CENTER, P.C.
- Practice address
- 1345 Queens CT
Suite B
Saint Peters, MO 63376-7356 - Phone
- (636) 477-6100
- Fax
- (636) 477-7287
- NPI assigned
- Dec 28, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Richard A Koelling, D.C.
- Title
- President
- Phone
- (636) 477-6100
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physician Chiropractor | 111NS0005X | 005857 | MO | Primary |
| Sports Physician Chiropractor | 111NS0005X | 006014 | MO |
Addresses
Primary practice location
1345 Queens CT
Suite B
Saint Peters, MO 63376-7356
Mailing address
1345 Queens CT
Suite B
Saint Peters, MO 63376-7356
Phone (636) 477-6100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1345 Queens Ct
#B
Saint Peters, MO 63376
Phone (636) 477-6100
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Sports Physician Chiropractor
- Saint Peters, MO
- NPI 1740363076
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198800000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1413331200000",
"number": "1215112040",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1345 QUEENS CT",
"address_2": "SUITE B",
"city": "SAINT PETERS",
"state": "MO",
"postal_code": "633767356",
"telephone_number": "636-477-6100",
"fax_number": "636-477-7287"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1345 QUEENS CT",
"address_2": "SUITE B",
"city": "SAINT PETERS",
"state": "MO",
"postal_code": "633767356",
"telephone_number": "636-477-6100",
"fax_number": "636-477-7287"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KOELLING & TURNBULL CHIROPRACTIC CENTER, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-28",
"last_updated": "2014-10-15",
"status": "A",
"authorized_official_last_name": "KOELLING",
"authorized_official_first_name": "RICHARD",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "636-477-6100",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111NS0005X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Chiropractor, Sports Physician",
"state": "MO",
"license": "005857",
"primary": true
},
{
"code": "111NS0005X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Chiropractor, Sports Physician",
"state": "MO",
"license": "006014",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Peters, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2014; 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.