Individual provider Active NPI

Michael Vianin, D.C.

  • Chiropractor
  • Kirkwood, MO
National Provider Identifier
1821070582
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2005000488 Issued in MO
Practice address
1099 Milwaukee St
Suite 230
Kirkwood, MO 63122-7355
Phone
(314) 821-9449
NPI assigned
Nov 17, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2005000488 MO Primary

Addresses

Primary practice location

1099 Milwaukee St
Suite 230
Kirkwood, MO 63122-7355

Mailing address

1099 Milwaukee St
Suite 230
Kirkwood, MO 63122-7355
Phone (314) 821-9449

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
2005000488MOMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Gray Family Chiropractic PLLC Chiropractor Past Accepting new patients
Logan University Chiropractor PastSince Jun 1, 2005 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1132185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1821070582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1099 MILWAUKEE ST",
            "address_2": "SUITE 230",
            "city": "KIRKWOOD",
            "state": "MO",
            "postal_code": "631227355",
            "telephone_number": "314-821-9449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1099 MILWAUKEE ST",
            "address_2": "SUITE 230",
            "city": "KIRKWOOD",
            "state": "MO",
            "postal_code": "631227355",
            "telephone_number": "314-821-9449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIANIN",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-17",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2005000488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kirkwood, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.