Active NPI
Walton CS-Xviii, PC
- Chiropractor
- Florissant, MO
National Provider Identifier
1619075165
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2005019885
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 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
National Provider Directory
National Provider DirectoryLocations
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.