Three Brothers Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

THREE BROTHERS CHIROPRACTIC LLC

Practice address

1084 N Ballas Rd
Des Peres, MO 63131-3706

Phone

(314) 966-5526

NPI assigned

Dec 6, 2024

Organization subpart

No

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

Authorized official

Name

Scott Malick

Title

Owner

Phone

(314) 966-5526

Specialties & licenses 1

Addresses

Other names 1

• 100 Percent Chiropractic Des Peres Doing business as

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Locations

Practitioners 2

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

• David Kiyoshi Miyasaki, D.C.

  • Chiropractor
  • Des Peres, MO
  • NPI 1699071704
  Medicare reassignment Care Compare group NPD
• Theodore Francis Valley II, DC, BS, LMT

  • Chiropractor
  • Saint Louis, MO
  • NPI 1114474855
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1733443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733788800000",
    "number": "1336955160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1084 N BALLAS RD",
            "city": "DES PERES",
            "state": "MO",
            "postal_code": "631313706",
            "telephone_number": "314-966-5526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1084 N BALLAS RD",
            "city": "DES PERES",
            "state": "MO",
            "postal_code": "631313706",
            "telephone_number": "314-966-5526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THREE BROTHERS CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-06",
        "last_updated": "2024-12-10",
        "certification_date": "2024-12-10",
        "status": "A",
        "authorized_official_last_name": "MALICK",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-966-5526"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "100 Percent Chiropractic Des Peres",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Gavin Shibli Tarazi, DMD
• Phyllip Taylor-Alonso, AU.D.
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• Tender Jewels Home Healthcare LLC
• Caroline Tringale
• Usv Optical Inc.
• Sanaa Waheed, M.D.
• Walgreen Co
• Christopher Ryan Weilandich

• Chiropractor in Des Peres, MO
• Providers in Des Peres, MO by specialty
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2024; 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.

Verify at the official NPI Registry.