Active NPI
Dennis Earl Enix, D.C., M.B.A.
- Rehabilitation Chiropractor
- Ballwin, MO
National Provider Identifier
1740467364
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- License
- 006480
- Practice address
- 721 Foxwick Dr
Ballwin, MO 63011-4234 - Phone
- (636) 230-1951
- NPI assigned
- Jan 25, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | 006480 | MO | Primary |
Addresses
Primary practice location
721 Foxwick Dr
Ballwin, MO 63011-4234
Mailing address
721 Foxwick Dr
Ballwin, MO 63011-4234
Phone (636) 230-1951
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)
- Not enrolled
- Credentials
- Master of Business Administration
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 006480 | MO | MD | Rehabilitation Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1254787200000",
"number": "1740467364",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "721 FOXWICK DR",
"city": "BALLWIN",
"state": "MO",
"postal_code": "630114234",
"telephone_number": "636-230-1951",
"fax_number": "636-207-2417"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "721 FOXWICK DR",
"city": "BALLWIN",
"state": "MO",
"postal_code": "630114234",
"telephone_number": "636-230-1951"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENIX",
"first_name": "DENNIS",
"middle_name": "EARL",
"name_prefix": "Dr.",
"credential": "D.C., M.B.A.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-01-25",
"last_updated": "2009-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "MO",
"license": "006480",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ballwin, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.