Maryland Heights Health Services

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

005517 Issued in MO

Legal business name

MARYLAND HEIGHTS HEALTH SERVICES

Practice address

36 Four Seasons Center
Suite 134
Chesterfield, MO 63017

Phone

(314) 469-9843

Fax

(314) 439-5154

NPI assigned

Apr 23, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Donald S Kreidler, DCNPI 1588698039

Title

Manager

Phone

(314) 469-9843

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Donald Scott Kreidler, D.C.

  • Chiropractor
  • Maryland Heights, MO
  • NPI 1588698039
  Authorized official Same address or phone

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346468295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 FOUR SEASONS CENTER",
            "address_2": "SUITE 134",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "63017",
            "telephone_number": "314-469-9843",
            "fax_number": "314-439-5154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 FOUR SEASONS CENTER",
            "address_2": "SUITE 134",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "63017",
            "telephone_number": "314-469-9843",
            "fax_number": "314-439-5154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYLAND HEIGHTS HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KREIDLER",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "314-469-9843",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "005517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Martin, DPT
• Jodi Alise Martin
• Judson F Martin, M.D.
• Barbara M Martinez, APRN
• Stanley Martka, R.PH.
• Maryland Medical Group LTD
• Mason Ridge Ambulatory Surgery Center LP (Gateway Endoscopy Center)
• John Edward Mason, M.D.
• Sharon Mason
• Matthew J Matava, MD

• Chiropractor in Chesterfield, MO
• Providers in Chesterfield, MO by specialty
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.