Robert Eugene Elder, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5913 Issued in MO

Practice address

12324 Olive Blvd
Creve Coeur, MO 63141-6443

Phone

(314) 567-7300

Fax

(314) 439-9052

NPI assigned

Nov 6, 2006

Last updated

May 27, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Specialty

Chiropractic

Education

Logan College of Chiropractic, 1990

Medicare assignment

May accept Medicare assignment

Group practices

Metro Chiropractic Centre, Inc.Group PAC ID 7618068925, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Metro Chiropractic Centre, Inc.

  • Chiropractor
  • Saint Louis, MO
  • NPI 1639218324
  Medicare reassignment Care Compare group Authorized official
• Premier Spine and Joint LLC

  • Chiropractor
  • Saint Louis, MO
  • NPI 1083458350
  NPD Authorized official
• Crossroads Family Chiropractic, LLC

  • Chiropractor
  • Creve Coeur, MO
  • NPI 1356584460
  NPD (past)

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211846400000",
    "number": "1487723425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12324 OLIVE BLVD",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631416443",
            "telephone_number": "314-567-7300",
            "fax_number": "314-439-9052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12324 OLIVE BLVD",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631416443",
            "telephone_number": "314-567-7300",
            "fax_number": "314-439-9052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELDER",
        "first_name": "ROBERT",
        "middle_name": "EUGENE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-06",
        "last_updated": "2008-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "5913",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "15344",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "791247",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Harry C Eggleston, M.D.
• Tamara Kay Ehlert, M.D.
• Rebecca Ehrke, PSY.D.
• Rachel G Elbl, WHNP-BC
• Christine Marie Underwood Elder, MA
• Elite Physical Therapy of Creve Coeur LLC (CORA Physical Therapy - Creve Coeur)
• Brooke Elliott, M.S., CCC-SLP
• James P Emanuel, M.D.
• Bryan Emerson, D.C.
• Daniel Patrick Emerson, M.D.

• Chiropractor in Creve Coeur, MO
• Providers in Creve Coeur, MO by specialty
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2008; 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.