Organization Active NPI

Chesterfield Spine Center, LLC

Doing business as St. Louis Spine and Orthopedic Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Town and Country, MO
National Provider Identifier
1457552846
Registry record updated Jan 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
CHESTERFIELD SPINE CENTER, LLC
Doing business as
St. Louis Spine and Orthopedic Surgery Center
Practice address
1130 Town and Country Commons Dr
Town and Country, MO 63017-8200
Phone
(636) 256-0320
Fax
(636) 256-0327
NPI assigned
May 31, 2007
Last updated
Jan 29, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2026

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

Authorized official

Name
Jennifer Baldock
Title
Officer and Authorized Official
Phone
(615) 234-5954

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

1130 Town and Country Commons Dr
Town and Country, MO 63017-8200

Mailing address

1130 Town and Country Commons Dr
Town and Country, MO 63017-8200
Phone (636) 256-0320

Other names 1

  • St. Louis Spine and Orthopedic Surgery Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071024000474 MO Part B Supplier - Ambulatory Surgical Center 8820185747 Practice locations: Town and Country, MO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1457552846. Details of each certification follow.

Hospital certification: CCN 260232

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
ST LOUIS SPINE AND OTHOPEDIC SURGERY CENTER
Certification status
Terminated Voluntary: merger or closure, Dec 31, 2022
Provider type (POS)
Hospital – Short-term
Participating since
Mar 4, 2021
Last certification
Mar 4, 2021
Beds
1
Ownership / control type
Private (for profit)
Facility address
1130 Town and Country Commons Drive
Town and Country, MO 63017

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
St Louis Spine and Orthopedic Surgery CtrCCN 26C0001133
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
26D1073911St Louis Spine and Orthopedic Surgery Center1130 Town and Country Commons Dr, Town and Country, MO 63017Certificate of waiverSep 18, 2027

National Provider Directory

National Provider Directory

Locations

1130 Town and Country Crossing Dr
Twn and Cntry, MO 63017
Phone (636) 394-0698

40 Burton Hills Blvd
Ste 500
Nashville, TN 37215

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769644800000",
    "number": "1457552846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 TOWN AND COUNTRY COMMONS DR",
            "city": "TOWN AND COUNTRY",
            "state": "MO",
            "postal_code": "630178200",
            "telephone_number": "636-256-0320",
            "fax_number": "636-256-0327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 TOWN AND COUNTRY COMMONS DR",
            "city": "TOWN AND COUNTRY",
            "state": "MO",
            "postal_code": "630178200",
            "telephone_number": "636-256-0320",
            "fax_number": "636-256-0327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHESTERFIELD SPINE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-31",
        "last_updated": "2026-01-29",
        "certification_date": "2026-01-29",
        "status": "A",
        "authorized_official_last_name": "BALDOCK",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OFFICER AND AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "615-234-5954"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Louis Spine and Orthopedic Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "St. Louis Spine and Orthopedic Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Town and Country, MO

Sources for this page

Verify at the official NPI Registry.