Organization Active NPI

Eriv a Nepute DC LLC

  • Chiropractor
  • Saint Louis, MO
National Provider Identifier
1750594552
Registry record updated Sep 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2007000308 Issued in MO
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

Updated by the provider on Sep 5, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Damon P Walton, DCNPI 1518297100
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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.