Active NPI
Christopher John Maffit, D.C.
- Chiropractor
- Creve Coeur, MO
National Provider Identifier
1891785499
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2001032183
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 350056210 | Other | MO | RAILROAD MEDICARE PRO |
| 3800A1 | Other | MO | BCBS CHOICE PAR PROVIDER |
| 157374 | Other | MO | BCBS ALLIANCE PAR PROVIDE |
| 4401309 | Other | MO | UHC NON-PAR ID |
| 471480 | Other | MO | HEALTHLINK NON-PAR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Delta Specifis Chiropractic, L.L.C. | Chiropractor | Past | 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.
-
- Chiropractor
- Creve Coeur, MO
- NPI 1366697195
-
- Chiropractor
- Clayton, MO
- NPI 1659307114
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.