Individual provider Active NPI

Joshua Ryan Waschak, DC

  • Chiropractor
  • Saint Louis, MO
National Provider Identifier
1326717216
Registry record updated Sep 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
20211036408 Issued in MO
Practice address
2821 N Ballas Rd Ste 105
Saint Louis, MO 63131-2314
Phone
(314) 872-9955
NPI assigned
Sep 13, 2021
Last updated
Sep 13, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 20211036408 MO Primary

Addresses

Primary practice location

2821 N Ballas Rd Ste 105
Saint Louis, MO 63131-2314

Mailing address

16604 Marcross CT
Chesterfield, MO 63005-4826
Phone (661) 289-2339

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
20211036408MOMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Joseph F. Unger, Jr., D.C., a Professional Corporation Chiropractor CurrentSince Sep 23, 2021 Accepting new patients

Locations

2821 N Ballas Rd
Ste 105
Saint Louis, MO 63131
Phone (314) 872-9955

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1631491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631491200000",
    "number": "1326717216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16604 MARCROSS CT",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630054826",
            "telephone_number": "661-289-2339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2821 N BALLAS RD STE 105",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631312314",
            "telephone_number": "314-872-9955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASCHAK",
        "first_name": "JOSHUA",
        "middle_name": "RYAN",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-13",
        "last_updated": "2021-09-13",
        "certification_date": "2021-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "20211036408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Sep 13, 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.