Richard Allen Koelling, D.C.

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

CE005857 Issued in MO

Practice address

1345 Queens CT
Ste. B
Saint Peters, MO 63376-7356

Phone

(636) 477-6100

NPI assigned

Oct 23, 2006

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, 1990

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Koelling & Turnbull Chiropractic Center, P.C.

  • Sports Physician Chiropractor
  • Saint Peters, MO
  • NPI 1215112040
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199923200000",
    "number": "1740363076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1345 QUEENS CT",
            "address_2": "STE. B",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633767356",
            "telephone_number": "636-477-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1345 QUEENS CT",
            "address_2": "STE. B",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633767356",
            "telephone_number": "636-477-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOELLING",
        "first_name": "RICHARD",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2008-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "MO",
            "license": "CE005857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary K Knight Macheca, ANP
• Gordon C Knight, D.O.
• Connie Marie Knox, MA, LPC, NCC
• Elizabeth Ann Kochanny, O.D.
• Koelling & Turnbull Chiropractic Center, P.C.
• Cameron Koester, DO
• Michelle Marie Koester, WHNP
• Kevin Jon Kohnke
• Joseph Anton Kohout, MD
• Kimberly L. Koontz, NP-C

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2008; 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.