Eric Neil Waltemate, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038.011402 Issued in IL

Practice address

11628 Old Ballas Rd Ste 112
Creve Coeur, MO 63141-7030

Phone

(314) 569-0057

NPI assigned

Nov 15, 2006

Last updated

Dec 28, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• St. Luke's Chiropractic Health Center LLC

  • Rehabilitation Chiropractor
  • Perryville, MO
  • NPI 1003026170
  NPD (past) Authorized official
• Medical Alternatives Corp

  • Chiropractor
  • Brentwood, MO
  • NPI 1851419493
  NPD
• Allied Physicians, S.C.

  • General Practice Registered Nurse
  • Nashville, IL
  • NPI 1194771238

  Chiropractor

  NPD (past)
• Matthew a Goben, D.C. LTD

  dba Chester Chiropractic Clinic

  • Chiropractor
  • Chester, IL
  • NPI 1346317765
  NPD (past)

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672185600000",
    "number": "1225101876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "339 S 5TH ST",
            "city": "MASCOUTAH",
            "state": "IL",
            "postal_code": "622582303",
            "telephone_number": "618-207-4445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11628 OLD BALLAS RD STE 112",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631417030",
            "telephone_number": "314-569-0057"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4509 N Illinois St Ste 6",
            "address_purpose": "LOCATION",
            "city": "Swansea",
            "state": "IL",
            "postal_code": "622261524",
            "country_code": "US",
            "telephone_number": "618-207-4445",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALTEMATE",
        "first_name": "ERIC",
        "middle_name": "NEIL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-15",
        "last_updated": "2022-12-28",
        "certification_date": "2022-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.011402",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2002013828",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David C. Wallace, R.PH.
• Margaret A Wallace, FNP
• Marla Kaye Wallace, M.A., PLPC
• Bailey Laine Waller, OTR/L
• Lisa Walsh, MPT
• Tawana Kieshawn Ware, DDS
• Marla Warren, PHARM D.
• Washington University
• Washington University
• Washington University (West County Otolaryngology Office)

• Chiropractor in Creve Coeur, MO
• Providers in Creve Coeur, MO by specialty
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.