Alan James Banaszynski, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2000153521 Issued in MO

Practice address

485 Wildwood Pkwy Ste 4
Ballwin, MO 63011-2667

Phone

(314) 567-5200

NPI assigned

Jan 12, 2007

Last updated

May 14, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Gray Family Chiropractic PLLC

  • Chiropractor
  • Chesterfield, MO
  • NPI 1811312663
  NPD (past)

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715644800000",
    "number": "1598816035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "485 WILDWOOD PKWY STE 4",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630112667",
            "telephone_number": "314-567-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "485 WILDWOOD PKWY STE 4",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630112667",
            "telephone_number": "314-567-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANASZYNSKI",
        "first_name": "ALAN",
        "middle_name": "JAMES",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-12",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2000153521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Renee Ballentine, OTR
• Ballwin Chiropractic Center, PC
• Ballwin Family Smiles, PLLC
• Ballwin Health Care LLC (Ballwin Ridge Health & Rehabilitation)
• Ballwin Orthopedic Group, LLC
• Marissa Paulette Barbeau, PLPC
• Derrick Bark, DC, ATC
• Elaine Barnes, BCBA
• Sharron Jean Bartle, LCSW
• Marilyn Faye Bass, LCSW

• Chiropractor in Ballwin, MO
• Providers in Ballwin, MO by specialty
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2024; 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.