Individual provider Active NPI

Parker Grundman, DC

  • Rehabilitation Chiropractor
  • Saint Louis, MO
National Provider Identifier
1346814746
Registry record updated Apr 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
2026010478 Issued in MO
Practice address
10435 Clayton Rd Ste 120
Saint Louis, MO 63131-2930
Phone
(314) 432-2329
NPI assigned
May 19, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Chiropractor 111NR0400X 2026010478 MO Primary

Addresses

Primary practice location

10435 Clayton Rd Ste 120
Saint Louis, MO 63131-2930

Mailing address

10435 Clayton Rd Ste 120
Saint Louis, MO 63131-2930
Phone (314) 432-2329

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
2026010478MOMDRehabilitation Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Dynamic Rehab Rehabilitation Current Accepting new patients

Locations

10435 Clayton Rd
Ste 120
Saint Louis, MO 63131
Phone (314) 442-4452

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1621382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777420800000",
    "number": "1346814746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10435 CLAYTON RD STE 120",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631312930",
            "telephone_number": "314-432-2329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10435 CLAYTON RD STE 120",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631312930",
            "telephone_number": "314-432-2329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUNDMAN",
        "first_name": "PARKER",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-19",
        "last_updated": "2026-04-29",
        "certification_date": "2026-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "MO",
            "license": "2026010478",
            "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 Apr 29, 2026; 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.