Organization Active NPI

Culture of Wellness, LLC

  • Clinic/Center
  • Ballwin, MO
National Provider Identifier
1225627458
Registry record updated Jan 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
CULTURE OF WELLNESS, LLC
Practice address
930 Kehrs Mill Rd Ste 325-3
Ballwin, MO 63011-2403
Phone
(636) 489-9259
NPI assigned
Jan 12, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2021

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

Authorized official

Name
Dr. Brooke Korhammer, DCNPI 1114516333
Title
Owner
Phone
(636) 489-9259

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

930 Kehrs Mill Rd Ste 325-3
Ballwin, MO 63011-2403

Mailing address

14453 Willow Bend Park
Town and Country, MO 63017-8257
Phone (636) 489-9259

National Provider Directory

National Provider Directory

Locations

930 Kehrs Mill Rd
Ste 325-3
Ballwin, MO 63011
Phone (636) 489-9259

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1610409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610409600000",
    "number": "1225627458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14453 WILLOW BEND PARK",
            "city": "TOWN AND COUNTRY",
            "state": "MO",
            "postal_code": "630178257",
            "telephone_number": "636-489-9259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 KEHRS MILL RD STE 325-3",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630112403",
            "telephone_number": "636-489-9259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CULTURE OF WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-12",
        "last_updated": "2021-01-12",
        "certification_date": "2021-01-12",
        "status": "A",
        "authorized_official_last_name": "KORHAMMER",
        "authorized_official_first_name": "BROOKE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "636-489-9259",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ballwin, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2021; 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.