Organization Active NPI

Westport Chiropractic and Wellness LLC

Doing business as WellPro Chiropractic

  • Chiropractor
  • Saint Louis, MO
National Provider Identifier
1225214893
Registry record updated Jan 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2007029226 Issued in MO
Legal business name
WESTPORT CHIROPRACTIC AND WELLNESS LLC
Doing business as
WellPro Chiropractic
Practice address
2060 Concourse Dr
Saint Louis, MO 63146-4119
Phone
(314) 985-0815
Fax
(314) 985-0819
NPI assigned
Jan 14, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2008

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

Authorized official

Name
Dr. Jeffrey P. Becker, D.C.
Title
Owner
Phone
(314) 985-0815

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2007029226 MO Primary

Addresses

Primary practice location

2060 Concourse Dr
Saint Louis, MO 63146-4119

Mailing address

2060 Concourse Dr
Saint Louis, MO 63146-4119
Phone (314) 985-0815

Other names 1

  • WellPro Chiropractic Doing business as

National Provider Directory

National Provider Directory

Locations

2060 Concourse Dr
Saint Louis, MO 63146
Phone (314) 985-0815

NPI Registry JSON

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

{
    "created_epoch": "1200268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200268800000",
    "number": "1225214893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2060 CONCOURSE DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631464119",
            "telephone_number": "314-985-0815",
            "fax_number": "314-985-0819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2060 CONCOURSE DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631464119",
            "telephone_number": "314-985-0815",
            "fax_number": "314-985-0819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTPORT CHIROPRACTIC AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-14",
        "last_updated": "2008-01-14",
        "status": "A",
        "authorized_official_last_name": "BECKER",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-985-0815",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2007029226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WellPro Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2008; 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.