Individual provider Active NPI

Christopher De Geer, D.C. M.S.

  • Chiropractor
  • Ballwin, MO
National Provider Identifier
1437532231
Registry record updated Jun 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2015014313 Issued in MO
Practice address
489 Melanie Meadows LN
Ballwin, MO 63021-6337
Phone
(314) 541-8188
NPI assigned
Jun 30, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2015014313 MO Primary

Addresses

Primary practice location

489 Melanie Meadows LN
Ballwin, MO 63021-6337

Mailing address

489 Melanie Meadows LN
Ballwin, MO 63021-6337
Phone (314) 541-8188

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160112001526 MO Practitioner - Chiropractic 0749582476 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

456 N New Ballas Rd
Suite 103
Creve Coeur, MO 63141-6812
Phone (314) 681-2800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
De Geer Health & Wellness, LLC CurrentSince Apr 24, 2019 Accepting new patients
Midwest Consulting and Ime Past Accepting new patients

Locations

777 S New Ballas Rd
Ste 218E
Saint Louis, MO 63141
Phone (314) 681-2800

456 N New Ballas Rd
Ste 103
Saint Louis, MO 63141
Phone (314) 681-2800

Organizations & group practices 2

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": "1435622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435622400000",
    "number": "1437532231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "489 MELANIE MEADOWS LN",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630216337",
            "telephone_number": "314-541-8188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "489 MELANIE MEADOWS LN",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630216337",
            "telephone_number": "314-541-8188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE GEER",
        "first_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "D.C. M.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-30",
        "last_updated": "2015-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2015014313",
            "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 Jun 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.