Active NPI
Daniel Jablonski, D.C.
- Chiropractor
- O Fallon, MO
National Provider Identifier
1487086385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2013024791
- Practice address
- 1601 Bryan Rd
O Fallon, MO 63368-4815 - Phone
- (636) 474-2273
- Fax
- (636) 474-2272
- NPI assigned
- Aug 1, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2013024791 | MO | Primary |
Addresses
Primary practice location
1601 Bryan Rd
O Fallon, MO 63368-4815
Mailing address
3560 Saint Albans Rd
PO Box 620
Saint Albans, MO 63073-1209
Phone (314) 609-1382
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1407715200000",
"number": "1487086385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3560 SAINT ALBANS RD",
"address_2": "PO BOX 620",
"city": "SAINT ALBANS",
"state": "MO",
"postal_code": "630731209",
"telephone_number": "314-609-1382"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 BRYAN RD",
"city": "O FALLON",
"state": "MO",
"postal_code": "633684815",
"telephone_number": "636-474-2273",
"fax_number": "636-474-2272"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JABLONSKI",
"first_name": "DANIEL",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-08-01",
"last_updated": "2014-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MO",
"license": "2013024791",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in O Fallon, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.