Ballas Chiropractic Centre Inc

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

5660 Issued in MO

Legal business name

BALLAS CHIROPRACTIC CENTRE INC

Practice address

11639 Studt Ave
Saint Louis, MO 63141-7015

Phone

(314) 872-7797

NPI assigned

Feb 1, 2010

Organization subpart

No

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

Authorized official

Name

Dr. David Kurt Wipperman, DCNPI 1932266509

Title

President

Phone

(314) 872-7797

Specialties & licenses 1

Addresses

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 Kurt Wipperman, DC

  • Chiropractor
  • St Louis, MO
  • NPI 1932266509
  Medicare reassignment NPD Authorized official
• Nigel B Darvell, M.S.W., L.C.S.W.

  • Clinical Social Worker
  • Creve Coeur, MO
  • NPI 1568502342
  NPD

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

{
    "created_epoch": "1264982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274313600000",
    "number": "1376875393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11639 STUDT AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631417015",
            "telephone_number": "314-872-7797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11639 STUDT AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631417015",
            "telephone_number": "314-872-7797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALLAS CHIROPRACTIC CENTRE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-01",
        "last_updated": "2010-05-20",
        "status": "A",
        "authorized_official_last_name": "WIPPERMAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "KURT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-872-7797",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "MO",
            "license": "5660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard M Ballard Jr., LCSW
• Stephanie Ballard, FNP-BC
• Wenners Ballard III, MD
• Ballas Anesthesia, Inc
• Ballas Cancer Center, LLC
• Ballas Hearing & Audiology Inc
• Ballas Outpatient Surgery Center LP
• Ballasdental
• Zachary Ballek, AGACNP-BC
• Kendra Ballesteros, P.T.A.

• Medical Specialty Clinic/Center in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Medical Specialty Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2010; 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.