Individual provider Active NPI

Chad Jonathan Hillgartner, D.C.

  • Chiropractor
  • Ballwin, MO
National Provider Identifier
1386762276
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2003017814 Issued in MO
Practice address
14615 Manchester Rd
Ballwin, MO 63011-3790
Phone
(636) 391-0424
Fax
(636) 391-0437
NPI assigned
Mar 27, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2003017814 MO Primary

Addresses

Primary practice location

14615 Manchester Rd
Ballwin, MO 63011-3790

Mailing address

14615 Manchester Rd
Ballwin, MO 63011-3790
Phone (636) 391-0424

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
2003017814MOMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386762276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14615 MANCHESTER RD",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630113790",
            "telephone_number": "636-391-0424",
            "fax_number": "636-391-0437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14615 MANCHESTER RD",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630113790",
            "telephone_number": "636-391-0424",
            "fax_number": "636-391-0437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILLGARTNER",
        "first_name": "CHAD",
        "middle_name": "JONATHAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2003017814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ballwin, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.