Individual provider Active NPI

Mahir Hanna Awwad, DC

  • Chiropractor
  • Saint Charles, MO
National Provider Identifier
1821137944
Registry record updated Feb 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2003009369 Issued in MO
Practice address
2201 1St Capitol Dr Ste 100
Saint Charles, MO 63301-5805
Phone
(636) 916-0660
Fax
(636) 916-0668
NPI assigned
Feb 5, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2003009369 MO Primary

Addresses

Primary practice location

2201 1St Capitol Dr Ste 100
Saint Charles, MO 63301-5805

Mailing address

2201 1St Capitol Dr Ste 100
Saint Charles, MO 63301-5805
Phone (636) 916-0660

Other identifiers 1

IdentifierTypeStateIssuer
187745OtherMOBLUE CROSS BLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040123000334 MO Practitioner - Chiropractic 4880596436 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
A B Chiropractic Family and Wellness, LLCGroup PAC ID 4587713847, 2 clinicians

Practice addresses (Care Compare)

2201 1St Capitol Dr
Suite 100
Saint Charles, MO 63301-5805
Phone (636) 916-0660

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2003009369MOMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Ezell Chiropractic LLC CurrentSince Sep 20, 2022 Accepting new patients
A B Chiropractic Family & Wellness, LLC Chiropractor CurrentSince Oct 3, 2003 Accepting new patients

Locations

2201 1st Capitol Dr
Ste 100
Saint Charles, MO 63301
Phone (636) 916-0660

1817 Zumbehl Rd
Saint Charles, MO 63303
Phone (636) 916-0660

2201 1st Capitol Dr
Saint Charles, MO 63301
Phone (636) 916-0660

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": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740528000000",
    "number": "1821137944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 1ST CAPITOL DR STE 100",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633015805",
            "telephone_number": "636-916-0660",
            "fax_number": "636-916-0668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 1ST CAPITOL DR STE 100",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633015805",
            "telephone_number": "636-916-0660",
            "fax_number": "636-916-0668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AWWAD",
        "first_name": "MAHIR",
        "middle_name": "HANNA",
        "name_prefix": "Mr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-05",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2003009369",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "187745",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Charles, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.