Organization Active NPI

Daniel G Armbruster DC PC

  • Chiropractor
  • Saint Louis, MO
National Provider Identifier
1912069733
Registry record updated Nov 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
005929 Issued in MO
Legal business name
DANIEL G ARMBRUSTER DC PC
Practice address
2730 Watson Rd
St Louis, MO 63139
Phone
(314) 832-3344
Fax
(314) 832-3833
NPI assigned
Dec 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2014

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

Authorized official

Name
Daniel Gerard Armbruster, DC DIPL AC NCCAOMNPI 1023170800
Title
Owner
Phone
(314) 832-3344

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 005929 MO Primary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X 2004006935 MO

Addresses

Primary practice location

2730 Watson Rd
St Louis, MO 63139

Mailing address

2730 Watson Rd
St Louis, MO 63139
Phone (314) 832-3344

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050801000402 MO Part B Supplier - Clinic/Group Practice 2264460245 Receives reassigned benefits from 1 practitioner
Practice locations: Saint Louis, MO

National Provider Directory

National Provider Directory

Locations

2730 Watson Rd
Saint Louis, MO 63139
Phone (314) 832-3344

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416960000000",
    "number": "1912069733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2730 WATSON RD",
            "city": "ST LOUIS",
            "state": "MO",
            "postal_code": "63139",
            "telephone_number": "314-832-3344",
            "fax_number": "314-832-3833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2730 WATSON RD",
            "city": "ST LOUIS",
            "state": "MO",
            "postal_code": "63139",
            "telephone_number": "314-832-3344",
            "fax_number": "314-832-3833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL G ARMBRUSTER DC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-15",
        "last_updated": "2014-11-26",
        "status": "A",
        "authorized_official_last_name": "ARMBRUSTER",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "GERARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-832-3344",
        "authorized_official_credential": "DC DIPL AC NCCAOM"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "005929",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "MO",
            "license": "2004006935",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2014; 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.