Organization Active NPI

Walton C.S. VIII, Inc.

  • Chiropractor
  • Wentzville, MO
National Provider Identifier
1881843894
Registry record updated Nov 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2002025276 Issued in MO
Legal business name
WALTON C.S. VIII, INC.
Doing business as
Runge Chiropractic
Practice address
1000 Corporate Pkwy
Suite102
Wentzville, MO 63385-4859
Phone
(636) 327-4446
Fax
(636) 327-0446
NPI assigned
Sep 15, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2008

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

Authorized official

Name
RJ R Runge, D.C.NPI 1275655169
Title
Owner/Doctor
Phone
(636) 327-4446

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2002025276 MO Primary

Addresses

Primary practice location

1000 Corporate Pkwy
Suite102
Wentzville, MO 63385-4859

Mailing address

1000 Corporate Pkwy
Suite102
Wentzville, MO 63385-4859
Phone (636) 327-4446

Other names 1

  • Runge Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081029000609 MO Part B Supplier - Clinic/Group Practice 0648338020 Receives reassigned benefits from 1 practitioner
Practice locations: Wentzville, MO

National Provider Directory

National Provider Directory

Locations

1000 Corporate Pkwy
Ste 102
Wentzville, MO 63385
Phone (636) 327-4446

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": "1221436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225843200000",
    "number": "1881843894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 CORPORATE PKWY",
            "address_2": "SUITE102",
            "city": "WENTZVILLE",
            "state": "MO",
            "postal_code": "633854859",
            "telephone_number": "636-327-4446",
            "fax_number": "636-327-0446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 CORPORATE PKWY",
            "address_2": "SUITE102",
            "city": "WENTZVILLE",
            "state": "MO",
            "postal_code": "633854859",
            "telephone_number": "636-327-4446",
            "fax_number": "636-327-0446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALTON C.S. VIII, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-15",
        "last_updated": "2008-11-05",
        "status": "A",
        "authorized_official_last_name": "RUNGE",
        "authorized_official_first_name": "RJ",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "636-327-4446",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2002025276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Runge Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wentzville, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.