Organization Active NPI

Ballwin Chiropractic Center, PC

  • Chiropractor
  • Ballwin, MO
National Provider Identifier
1467601526
Registry record updated Sep 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3473 Issued in MO
Legal business name
BALLWIN CHIROPRACTIC CENTER, PC
Practice address
14615 Manchester Rd
Ballwin, MO 63011-3790
Phone
(636) 391-0424
Fax
(636) 391-0437
NPI assigned
Sep 15, 2008
Last updated
Sep 16, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2008

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

Authorized official

Name
Dr. Roy HillgartnerNPI 1386709467
Title
Owner
Phone
(636) 391-0424

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3473 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

Other identifiers 1

IdentifierTypeStateIssuer
7894OtherMOBLUE CROSS BLUE SHEILD PIN

National Provider Directory

National Provider Directory

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": "1221436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221523200000",
    "number": "1467601526",
    "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": {
        "organization_name": "BALLWIN CHIROPRACTIC CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-15",
        "last_updated": "2008-09-16",
        "status": "A",
        "authorized_official_last_name": "HILLGARTNER",
        "authorized_official_first_name": "ROY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "636-391-0424",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "3473",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD PIN",
            "identifier": "7894",
            "state": "MO"
        }
    ],
    "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 Sep 16, 2008; 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.