Organization Active NPI

Spinal Care Concepts, P.C.

Doing business as McKelvey Chiropractic

  • Chiropractor
  • Maryland Heights, MO
National Provider Identifier
1912116815
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2004011261 Issued in MO
Legal business name
SPINAL CARE CONCEPTS, P.C.
Doing business as
McKelvey Chiropractic
Practice address
2303 McKelvey Rd
Maryland Heights, MO 63043-1531
Phone
(314) 878-9355
Fax
(314) 878-7219
NPI assigned
May 21, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Adam William Balog, D.C.NPI 1649341264
Title
President
Phone
(314) 878-9355

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 2004011261 MO Primary

Addresses

Primary practice location

2303 McKelvey Rd
Maryland Heights, MO 63043-1531

Mailing address

2303 McKelvey Rd
Maryland Heights, MO 63043-1531
Phone (314) 878-9355

Other names 1

  • McKelvey Chiropractic Doing business as

National Provider Directory

National Provider Directory

Locations

2303 McKelvey Rd
Maryland Heights, MO 63043
Phone (314) 878-9355

Practitioners & affiliated clinicians

Practitioners 2

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": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1912116815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2303 MCKELVEY RD",
            "city": "MARYLAND HEIGHTS",
            "state": "MO",
            "postal_code": "630431531",
            "telephone_number": "314-878-9355",
            "fax_number": "314-878-7219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2303 MCKELVEY RD",
            "city": "MARYLAND HEIGHTS",
            "state": "MO",
            "postal_code": "630431531",
            "telephone_number": "314-878-9355",
            "fax_number": "314-878-7219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINAL CARE CONCEPTS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BALOG",
        "authorized_official_first_name": "ADAM",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-878-9355",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2004011261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "McKelvey Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Maryland Heights, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.