Richard Wayne Blalock Jr., D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2011000744 Issued in MO

Practice address

235 Jungermann Rd Ste 210
Saint Peters, MO 63376-5365

Phone

(636) 352-0380

Fax

(636) 352-2343

NPI assigned

Jan 14, 2011

Sex

Male

Sole proprietor

Yes

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

Enrolled in MO

Enrollment records 1

Specialty

Chiropractic

Education

Logan College of Chiropractic, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• Active Family Chiropractic, LLC

  dba Cardinal Chiropractic of St. Peters

  • Clinic/Center
  • Saint Peters, MO
  • NPI 1891090395
  Medicare reassignment Authorized official
• Carolyn S. Griffin, DC, LLC

  • Chiropractor
  • Saint Charles, MO
  • NPI 1598237240
  NPD (past)

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

{
    "created_epoch": "1294963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788393600000",
    "number": "1639474133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 JUNGERMANN RD STE 210",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633765365",
            "telephone_number": "636-352-0380",
            "fax_number": "636-352-2343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 JUNGERMANN RD STE 210",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633765365",
            "telephone_number": "636-352-0380",
            "fax_number": "636-352-2343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLALOCK",
        "first_name": "RICHARD",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-01-14",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2011000744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tim Duane Bizelli
• Bjsph Physician Billing Services, LLC (Benrus Surgical at Barnes-Jewish St. Peters)
• Christin Black
• Andrew T Blackburne, MD
• Joy Blair
• Sophie Kathryn Blanco
• Kara Bland, PT, DPT
• Valerie Elizabeth Blankenship, MOTR-L
• Ashley Blanton
• Corey Allen Blassie, NP

• Chiropractor in Saint Peters, MO
• Providers in Saint Peters, MO by specialty
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2026; 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.