Organization Active NPI

Walton CS-Xviii, PC

  • Chiropractor
  • Florissant, MO
National Provider Identifier
1619075165
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2005019885 Issued in MO
Legal business name
WALTON CS-XVIII, PC
Practice address
3533 Dunn Rd Ste 236
Florissant, MO 63033-6761
Phone
(314) 831-8877
Fax
(314) 831-8874
NPI assigned
Sep 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Adrian Walton, DC
Title
Executor
Phone
(217) 854-3300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2005019885 MO Primary

Addresses

Primary practice location

3533 Dunn Rd Ste 236
Florissant, MO 63033-6761

Mailing address

110 E 1St North St
Carlinville, IL 62626-1505
Phone (217) 854-3300

Other names 1

  • HealthFirst Chiropractic Doing business as

National Provider Directory

National Provider Directory

Locations

110 E 1st North St
Carlinville, IL 62626
Phone (217) 854-3300

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619075165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 E 1ST NORTH ST",
            "city": "CARLINVILLE",
            "state": "IL",
            "postal_code": "626261505",
            "telephone_number": "217-854-3300",
            "fax_number": "217-854-4546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3533 DUNN RD STE 236",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630336761",
            "telephone_number": "314-831-8877",
            "fax_number": "314-831-8874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALTON CS-XVIII, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WALTON",
        "authorized_official_first_name": "ADRIAN",
        "authorized_official_title_or_position": "EXECUTOR",
        "authorized_official_telephone_number": "217-854-3300",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2005019885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HealthFirst Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Florissant, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.