Active NPI
Nepute DC Wellness Center, P.C.
- Physical Medicine & Rehabilitation Physician
- Saint Louis, MO
National Provider Identifier
1699119677
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- R7H67
- Legal business name
- NEPUTE DC WELLNESS CENTER, P.C.
- Practice address
- 4225 Bayless Ave
Saint Louis, MO 63123-7513 - Phone
- (314) 544-5600
- NPI assigned
- Apr 22, 2013
- 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
- Dr. Anthony R Anderson, MD
- Title
- Medical Director
- Phone
- (314) 544-5600
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2007000308 | MO | |
| Physical Medicine & Rehabilitation Physician | 208100000X | R7H67 | MO | Primary |
Addresses
Primary practice location
4225 Bayless Ave
Saint Louis, MO 63123-7513
Mailing address
4225 Bayless Ave
Saint Louis, MO 63123-7513
Phone (314) 544-5600
Other names 1
- Nepute Wellness Center
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1366588800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1366588800000",
"number": "1699119677",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4225 BAYLESS AVE",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631237513",
"telephone_number": "314-544-5600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4225 BAYLESS AVE",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631237513",
"telephone_number": "314-544-5600"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEPUTE DC WELLNESS CENTER, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2013-04-22",
"last_updated": "2013-04-22",
"status": "A",
"authorized_official_last_name": "ANDERSON",
"authorized_official_first_name": "ANTHONY",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "314-544-5600",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "MO",
"license": "2007000308",
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": "MO",
"license": "R7H67",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Nepute Wellness Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.