Active NPI
Christopher Ryan Weilandich
- Chiropractor
- Des Peres, MO
National Provider Identifier
1699120097
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2020031483
- Practice address
- 2190 S Mason Rd Ste 302
Des Peres, MO 63131-1637 - Phone
- (636) 629-2414
- NPI assigned
- May 4, 2016
- Last updated
- Oct 8, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 2015038419 | MO | |
| Chiropractor | 111N00000X | 2020031483 | MO | Primary |
Addresses
Primary practice location
2190 S Mason Rd Ste 302
Des Peres, MO 63131-1637
Mailing address
2718 Red Cedar Parc Dr S
O Fallon, MO 63368-6607
Phone (636) 487-6207
Other practice location 1
222 S 2nd St
Saint Charles, MO 63301-2809
Phone (636) 947-9111
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 |
|---|---|---|---|
| 2020031483 | MO | MD | Chiropractor |
| 2015038419 | MO | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coleman Chiropractic, PC | Chiropractor | Current | Accepting new patients |
Locations
2190 S Mason Rd
Ste 302
Des Peres, MO 63131
Phone (636) 629-2414
Organizations & group practices 1
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
- Saint Clair, MO
- NPI 1508196338
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602115200000",
"number": "1699120097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2718 RED CEDAR PARC DR S",
"city": "O FALLON",
"state": "MO",
"postal_code": "633686607",
"telephone_number": "636-487-6207"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2190 S MASON RD STE 302",
"city": "DES PERES",
"state": "MO",
"postal_code": "631311637",
"telephone_number": "636-629-2414"
}
],
"practiceLocations": [
{
"address_1": "222 S 2nd St",
"address_purpose": "LOCATION",
"city": "Saint Charles",
"state": "MO",
"postal_code": "633012809",
"country_code": "US",
"telephone_number": "636-947-9111",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WEILANDICH",
"first_name": "CHRISTOPHER",
"middle_name": "RYAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-05-04",
"last_updated": "2020-10-08",
"certification_date": "2020-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "MO",
"license": "2015038419",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "MO",
"license": "2020031483",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Des Peres, MO
- Three Brothers Chiropractic LLC (100 Percent Chiropractic Des Peres)
- Caroline Tringale
- Usv Optical Inc.
- Sanaa Waheed, M.D.
- Walgreen Co (Walgreens #05120)
- Tara Lynn Weirich, CRNA
- Katherine Sue Welsh, PTA
- Carey Lynn Weltz, FNP-C
- West County Pharmacy LLC (Goldsmith Medicenter Pharmacy)
- Erica Amber Westbrooks, PA-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 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.