Individual provider Active NPI

Leonard R Suiter, DC

  • Chiropractor
  • Ballwin, MO
National Provider Identifier
1598896896
Registry record updated Apr 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
004150 Issued in MO
Practice address
15320 Manchester Rd
Ballwin, MO 63011-3027
Phone
(636) 227-4378
NPI assigned
Mar 8, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 12, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 004150 MO Primary

Addresses

Primary practice location

15320 Manchester Rd
Ballwin, MO 63011-3027

Mailing address

15320 Manchester Rd
Ballwin, MO 63011-3027
Phone (636) 227-4378

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071210000177 MO Practitioner - Chiropractic 1052400397 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

152 Clarkson Executive Park
Ellisville, MO 63011-2114
Phone (636) 227-4378

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
004150MOMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Suiter Chiropractic Clinic LLC Chiropractor CurrentSince Jun 13, 2011 Accepting new patients

Locations

15320 Manchester Rd
Ellisville, MO 63011
Phone (636) 227-4378

152 Clarkson Executive Park
Ellisville, MO 63011
Phone (636) 227-4378

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302566400000",
    "number": "1598896896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15320 MANCHESTER RD",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630113027",
            "telephone_number": "636-227-4378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15320 MANCHESTER RD",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630113027",
            "telephone_number": "636-227-4378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUITER",
        "first_name": "LEONARD",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-08",
        "last_updated": "2011-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "004150",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Apr 12, 2011; 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.