Paul Alan Parrish, DC
Individual provider Active NPI Chiropractor · Ellisville, MO
NPI 1831969187 · NPPES record last updated Jan 8, 2024
Key facts
- NPI
- 1831969187
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 2024000511 (MO)
- Practice address
- 300 Ozark Trail Dr Ste 105
Ellisville, MO 63011-2156 - Phone
- (636) 207-6600
- NPI assigned
- Jan 8, 2024
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Logan College of Chiropractic, 2023
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
252 W Service Rd N
Suite 102
Wright City, MO 63390-0000
Phone (636) 777-9873
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240208003571 | MO | Practitioner - Chiropractic | 4981047701 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Parrish Chiropractic and Functional Health LLC | Chiropractor | Current |
Accepting new patients |
| Grace Chiropractic and Holistic Health, LLC | Chiropractor | Current |
Accepting new patients |
Locations
300 Ozark Trail Dr
Ste 105
Ellisville, MO 63011
Phone (636) 207-6600
252 W Service Rd N
Ste 102
Wright City, MO 63390
Phone (636) 777-9873
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2024000511 | MO | Yes |
Addresses
Primary practice location
300 Ozark Trail Dr Ste 105
Ellisville, MO 63011-2156
Mailing address
594 Bridgebend Rd
Manchester, MO 63021-6704
Phone (484) 366-6324
Other providers in Ellisville, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 8, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.