Coleman Chiropractic, PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

006684 Issued in MO

Legal business name

COLEMAN CHIROPRACTIC, PC

Practice address

605 N Commercial Ave
Saint Clair, MO 63077-1103

Phone

(636) 629-2414

Fax

(636) 629-2406

NPI assigned

Dec 29, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Barton J Coleman, DCNPI 1053412155

Title

President

Phone

(636) 629-2414

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Barton J Coleman, D.C.

  • Chiropractor
  • Saint Clair, MO
  • NPI 1053412155
  Medicare reassignment NPD Authorized official
• Jennifer Faye Noelker, PT

  • Physical Therapist
  • Washington, MO
  • NPI 1811172414

  MO

  Medicare reassignment NPD
• Christopher Ryan Weilandich

  • Chiropractor
  • Des Peres, MO
  • NPI 1699120097
  NPD
• Lindsey Carrera, D.C.

  • Sports Physician Chiropractor
  • Des Peres, MO
  • NPI 1457708208
  NPD (past)
• Lacey Miller, DC

  • Chiropractor
  • Saint Clair, MO
  • NPI 1356711428
  NPD (past)

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

{
    "created_epoch": "1262044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262044800000",
    "number": "1508196338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 N COMMERCIAL AVE",
            "city": "SAINT CLAIR",
            "state": "MO",
            "postal_code": "630771103",
            "telephone_number": "636-629-2414",
            "fax_number": "636-629-2406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 N COMMERCIAL AVE",
            "city": "SAINT CLAIR",
            "state": "MO",
            "postal_code": "630771103",
            "telephone_number": "636-629-2414",
            "fax_number": "636-629-2406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLEMAN CHIROPRACTIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-29",
        "last_updated": "2009-12-29",
        "status": "A",
        "authorized_official_last_name": "COLEMAN",
        "authorized_official_first_name": "BARTON",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "636-629-2414",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "006684",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS GROUP PIN",
            "identifier": "133659",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charles Dean Blackburn, FNP-BC
• Kirk Edward Brockman, M.D.
• Phillip Buckley, DDS
• James Leroy Bunge, DDS
• CLH Physical Therapy, LLC
• Barton J Coleman, D.C.
• Caitlin Conner
• Kalli Danielle Conner, M.S. CCC-SLP
• Kayala Sue Cooper
• Charles Michael Curtis, DPT

• All providers in Saint Clair, MO
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.