Active NPI
Eriv a Nepute DC LLC
- Chiropractor
- Saint Louis, MO
National Provider Identifier
1750594552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2007000308
- Legal business name
- ERIV A NEPUTE DC LLC
- Doing business as
- Nepute Chiropractic
- Practice address
- 4225 Bayless Ave
Saint Louis, MO 63123-7513 - Phone
- (314) 544-5600
- Fax
- (314) 544-5696
- NPI assigned
- May 8, 2007
- 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
- Damon P Walton, DC
- Title
- Director
- Phone
- (217) 854-3300
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2007000308 | MO | Primary |
Addresses
Primary practice location
4225 Bayless Ave
Saint Louis, MO 63123-7513
Mailing address
110 E 1St North St
Carlinville, IL 62626-1505
Phone (217) 854-3300
Other names 1
- Nepute Chiropractic
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Lincoln, IL
- NPI 1518297100
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178582400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1220572800000",
"number": "1750594552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 E 1ST NORTH ST",
"city": "CARLINVILLE",
"state": "IL",
"postal_code": "626261505",
"telephone_number": "217-854-3300",
"fax_number": "217-854-4546"
},
{
"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",
"fax_number": "314-544-5696"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ERIV A NEPUTE DC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-08",
"last_updated": "2008-09-05",
"status": "A",
"authorized_official_last_name": "WALTON",
"authorized_official_first_name": "DAMON",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "217-854-3300",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "MO",
"license": "2007000308",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Nepute Chiropractic",
"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 Sep 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.