Individual provider Active NPI

Christopher John Maffit, D.C.

  • Chiropractor
  • Creve Coeur, MO
National Provider Identifier
1891785499
Registry record updated Mar 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2001032183 Issued in MO
Practice address
11720 Old Ballas Rd Ste 2
Creve Coeur, MO 63141-7028
Phone
(314) 725-3358
Fax
(314) 725-1733
NPI assigned
Oct 25, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2001032183 MO Primary

Addresses

Primary practice location

11720 Old Ballas Rd Ste 2
Creve Coeur, MO 63141-7028

Mailing address

11720 Old Ballas Rd
Ste 2
Creve Coeur, MO 63141-7026
Phone (314) 725-3358

Other practice location 1

8403 Maryland Ave
Clayton, MO 63105-3646
Phone (314) 725-3358

Other identifiers 5

IdentifierTypeStateIssuer
350056210OtherMORAILROAD MEDICARE PRO
3800A1OtherMOBCBS CHOICE PAR PROVIDER
157374OtherMOBCBS ALLIANCE PAR PROVIDE
4401309OtherMOUHC NON-PAR ID
471480OtherMOHEALTHLINK NON-PAR

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090116000300 MO Practitioner - Chiropractic 6406919430 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11720 Old Ballas Rd
Suite 2
Creve Coeur, MO 63141-7028
Phone (314) 725-3358

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Delta Specifis Chiropractic, L.L.C. Chiropractor PastSince Jan 1, 2009 Accepting new patients

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": "1130198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521504000000",
    "number": "1891785499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11720 OLD BALLAS RD",
            "address_2": "STE 2",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631417026",
            "telephone_number": "314-725-3358",
            "fax_number": "314-725-1733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11720 OLD BALLAS RD STE 2",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631417028",
            "telephone_number": "314-725-3358",
            "fax_number": "314-725-1733"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8403 Maryland Ave",
            "address_purpose": "LOCATION",
            "city": "Clayton",
            "state": "MO",
            "postal_code": "631053646",
            "country_code": "US",
            "telephone_number": "314-725-3358",
            "fax_number": "314-725-1733",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAFFIT",
        "first_name": "CHRISTOPHER",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-25",
        "last_updated": "2018-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2001032183",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PRO",
            "identifier": "350056210",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS CHOICE PAR PROVIDER",
            "identifier": "3800A1",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS ALLIANCE PAR PROVIDE",
            "identifier": "157374",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC NON-PAR ID",
            "identifier": "4401309",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK NON-PAR",
            "identifier": "471480",
            "state": "MO"
        }
    ],
    "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 20, 2018; 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.