Active NPI
Joseph Walters
- Chiropractor
- Ballwin, MO
National Provider Identifier
1649639485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2016003220
- Practice address
- 13948 Reflection Dr
Ballwin, MO 63021-8054 - Phone
- (217) 836-6855
- NPI assigned
- Feb 22, 2016
- Last updated
- Feb 22, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2016003220 | MO | Primary |
Addresses
Primary practice location
13948 Reflection Dr
Ballwin, MO 63021-8054
Mailing address
1090 Wolfrum Rd
Weldon Spring, MO 63304-7795
Phone (217) 836-6855
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2016003220 | MO | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walters Chiropractic LLC | Chiropractor | Past | Accepting new patients |
| Walters Chiropractic LLC | Chiropractor | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Chiropractor
- Weldon Spring, MO
- NPI 1083072383
-
- Chiropractor
- Ballwin, MO
- NPI 1932560471
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1456099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1456099200000",
"number": "1649639485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1090 WOLFRUM RD",
"city": "WELDON SPRING",
"state": "MO",
"postal_code": "633047795",
"telephone_number": "217-836-6855"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13948 REFLECTION DR",
"city": "BALLWIN",
"state": "MO",
"postal_code": "630218054",
"telephone_number": "217-836-6855"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALTERS",
"first_name": "JOSEPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-02-22",
"last_updated": "2016-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MO",
"license": "2016003220",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ballwin, MO
- Walgreen Co (Walgreens #04467)
- Walgreen Co (Walgreens #05003)
- Walgreen Co (Walgreens #01273)
- Walgreen Co (Walgreens #10429)
- Walters Chiropractic LLC
- Angela Catherine Wanta, LMSW, MED, BCBA, LBA
- Jason Garrett Watts, PHARM.D.
- WCCC Op LLC (West County Care Center)
- Michael Joe Webb, LMT
- Michael Patrick Weber, D.M.D., P.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.