Individual provider Active NPI

Eric Anthony Nepute, D.C.

  • Chiropractor
  • Saint Louis, MO
National Provider Identifier
1790833044
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
200700308 Issued in MO
Practice address
4225 Bayless Ave
Saint Louis, MO 63123-7513
Phone
(314) 544-5600
NPI assigned
Jan 5, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 200700308 MO Primary

Addresses

Primary practice location

4225 Bayless Ave
Saint Louis, MO 63123-7513

Mailing address

4225 Bayless Ave
Saint Louis, MO 63123-7513
Phone (314) 544-5600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070606000097 MO Practitioner - Chiropractic 7012015647 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
200700308MOMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Nepute DC Wellness Center PC Current Accepting new patients
Quick-Work Chiropractic LLC Chiropractor CurrentSince Sep 17, 2020 Accepting new patients

Locations

4225 Bayless Ave
Saint Louis, MO 63123
Phone (314) 544-5600

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790833044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4225 BAYLESS AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631237513",
            "telephone_number": "314-544-5600"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEPUTE",
        "first_name": "ERIC",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "200700308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.