NPIMap

Organization Active NPI

Chiropro of Eureka, LLC

  • Chiropractor
  • Eureka, MO
National Provider Identifier
1801464763
Registry record updated Jun 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
CHIROPRO OF EUREKA, LLC
Practice address
409 Meramec Blvd
Eureka, MO 63025-3906
Phone
(618) 979-0398
Fax
(314) 530-2457
NPI assigned
Jun 16, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2021

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

Authorized official

Name
Robert Rice, DCNPI 1174620975
Title
Owner/President
Phone
(618) 979-0398

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 Primary

Addresses

Primary practice location

409 Meramec Blvd
Eureka, MO 63025-3906

Mailing address

409 Meramec Blvd
Eureka, MO 63025-3906
Phone (618) 979-0398

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210716001343 MO Part B Supplier - Clinic/Group Practice 8820490543 Receives reassigned benefits from 6 practitioners
Practice locations: Eureka, MO

National Provider Directory

National Provider Directory

Locations

409 Meramec Blvd
Eureka, MO 63025
Phone (636) 429-2024

Practitioners 12

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": "1623801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623801600000",
    "number": "1801464763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 MERAMEC BLVD",
            "city": "EUREKA",
            "state": "MO",
            "postal_code": "630253906",
            "telephone_number": "618-979-0398",
            "fax_number": "314-530-2457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 MERAMEC BLVD",
            "city": "EUREKA",
            "state": "MO",
            "postal_code": "630253906",
            "telephone_number": "618-979-0398",
            "fax_number": "314-530-2457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRO OF EUREKA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-16",
        "last_updated": "2021-06-16",
        "certification_date": "2021-06-16",
        "status": "A",
        "authorized_official_last_name": "RICE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "618-979-0398",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eureka, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2021; 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.