Organization Active NPI

Whole Child Pediatrics, LLC

  • Pediatrics Physician
  • Creve Coeur, MO
National Provider Identifier
1831693381
Registry record updated Mar 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
2006007755 Issued in MO
Legal business name
WHOLE CHILD PEDIATRICS, LLC
Practice address
522 N New Ballas Rd Ste 245
Creve Coeur, MO 63141-6854
Phone
(314) 272-4005
Fax
(314) 442-7765
NPI assigned
Mar 20, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2019

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

Authorized official

Name
Joseph Cangas, MDNPI 1295795318
Title
Managing Member
Phone
(314) 435-4640

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
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 2006007755 MO Primary

Addresses

Primary practice location

522 N New Ballas Rd Ste 245
Creve Coeur, MO 63141-6854

Mailing address

9788 Gerald Dr
Saint Louis, MO 63128-1708

Other practice location 1

10007 Kennerly Rd Ste C
Saint Louis, MO 63128-2179
Phone (314) 270-9355

National Provider Directory

National Provider Directory

Locations

522 N New Ballas Rd
Ste 245
Saint Louis, MO 63141
Phone (314) 472-8333

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": "1521504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552348800000",
    "number": "1831693381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9788 GERALD DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631281708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 N NEW BALLAS RD STE 245",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631416854",
            "telephone_number": "314-272-4005",
            "fax_number": "314-442-7765"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10007 Kennerly Rd Ste C",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631282179",
            "country_code": "US",
            "telephone_number": "314-270-9355",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WHOLE CHILD PEDIATRICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-20",
        "last_updated": "2019-03-12",
        "status": "A",
        "authorized_official_last_name": "CANGAS",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "314-435-4640",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "MO",
            "license": "2006007755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Creve Coeur, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2019; 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.