Active NPI
Leonard Conrad Wolf, D.C.
- Chiropractor
- Richmond Heights, MO
National Provider Identifier
1992227797
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2016027562
- Practice address
- 1034 Brentwood Blvd.
Suite 415
Richmond Heights, MO 63117 - Phone
- (314) 293-8123
- NPI assigned
- Jul 13, 2017
- Sex
- Male
- Sole proprietor
- Yes
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 | 2016027562 | MO | Primary |
Addresses
Primary practice location
1034 Brentwood Blvd.
Suite 415
Richmond Heights, MO 63117
Mailing address
1554 Atlantic Crossing Dr.
Fenton, MO 63026
Phone (314) 740-2756
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2016027562 | MO | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chambers Medical Group Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Florissant, MO
- NPI 1316197205
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1992227797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1554 ATLANTIC CROSSING DR.",
"city": "FENTON",
"state": "MO",
"postal_code": "63026",
"telephone_number": "314-740-2756"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1034 BRENTWOOD BLVD.",
"address_2": "SUITE 415",
"city": "RICHMOND HEIGHTS",
"state": "MO",
"postal_code": "63117",
"telephone_number": "314-293-8123"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLF",
"first_name": "LEONARD",
"middle_name": "CONRAD",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-07-13",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MO",
"license": "2016027562",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Richmond Heights, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.