Active NPI
Whole Child Pediatrics, LLC
- Pediatrics Physician
- Creve Coeur, MO
National Provider Identifier
1831693381
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 2006007755
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Joseph Cangas, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 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 DirectoryLocations
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.
-
- Pediatrics Physician
- Columbia, IL
- NPI 1295795318
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.