Organization Active NPI

De Geer Health & Wellness, LLC

  • Clinic/Center
  • Creve Coeur, MO
National Provider Identifier
1649784810
Registry record updated Nov 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
2015014313 Issued in MO
Legal business name
DE GEER HEALTH & WELLNESS, LLC
Practice address
777 S New Ballas Rd Ste 218E
Creve Coeur, MO 63141-8718
Phone
(314) 541-8188
NPI assigned
Nov 27, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2017

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

Authorized official

Name
Christopher De Geer, DC, MSNPI 1437532231
Title
Owner
Phone
(314) 541-8188

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 2015014313 MO Primary

Addresses

Primary practice location

777 S New Ballas Rd Ste 218E
Creve Coeur, MO 63141-8718

Mailing address

391 Palermo Dr
Ballwin, MO 63021-6450

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190530002125 MO Part B Supplier - Clinic/Group Practice 3779826060 Receives reassigned benefits from 1 practitioner
Practice locations: Creve Coeur, MO

National Provider Directory

National Provider Directory

Locations

456 N New Ballas Rd
Ste 103
Saint Louis, MO 63141
Phone (314) 681-2800

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1511740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511740800000",
    "number": "1649784810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "391 PALERMO DR",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630216450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 S NEW BALLAS RD STE 218E",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631418718",
            "telephone_number": "314-541-8188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DE GEER HEALTH & WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-27",
        "last_updated": "2017-11-27",
        "status": "A",
        "authorized_official_last_name": "DE GEER",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-541-8188",
        "authorized_official_credential": "DC, MS"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MO",
            "license": "2015014313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Creve Coeur, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.