NPIMap

Organization Active NPI

Atrium Health Services

  • Chiropractor
  • Saint Louis, MO
National Provider Identifier
1396414223
Registry record updated Sep 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
ATRIUM HEALTH SERVICES
Practice address
2821 N Ballas Rd Ste 105
Saint Louis, MO 63131-2314
Phone
(314) 872-9955
NPI assigned
Sep 13, 2021
Last updated
Sep 13, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2021

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

Authorized official

Name
Bryson Colt Wilbanks, DCNPI 1770028672
Title
Partner
Phone
(314) 872-9955

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

2821 N Ballas Rd Ste 105
Saint Louis, MO 63131-2314

Mailing address

2821 N Ballas Rd Ste 105
Saint Louis, MO 63131-2314
Phone (314) 872-9955

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210929000121 MO Part B Supplier - Clinic/Group Practice 6002213337 Receives reassigned benefits from 6 practitioners
Practice locations: Saint Louis, MO

National Provider Directory

National Provider Directory

Locations

2821 N Ballas Rd
Ste 105
Saint Louis, MO 63131
Phone (314) 872-9955

Practitioners & affiliated clinicians

Practitioners 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1631491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631491200000",
    "number": "1396414223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2821 N BALLAS RD STE 105",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631312314",
            "telephone_number": "314-872-9955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2821 N BALLAS RD STE 105",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631312314",
            "telephone_number": "314-872-9955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATRIUM HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-13",
        "last_updated": "2021-09-13",
        "certification_date": "2021-09-13",
        "status": "A",
        "authorized_official_last_name": "WILBANKS",
        "authorized_official_first_name": "BRYSON",
        "authorized_official_middle_name": "COLT",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "314-872-9955",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "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 Sep 13, 2021; 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.