Organization Active NPI

Donald S. Kreidler Chiropractic, PC

  • Rehabilitation Chiropractor
  • Bridgeton, MO
National Provider Identifier
1992982946
Registry record updated Jan 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
CE005517 Issued in MO
Legal business name
DONALD S. KREIDLER CHIROPRACTIC, PC
Practice address
11901 Saint Charles Rock Rd
Bridgeton, MO 63044-2623
Phone
(314) 298-1400
Fax
(314) 298-1401
NPI assigned
Jan 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2008

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

Authorized official

Name
Dr. Donald S. Kreidler, DC
Title
Owner
Phone
(314) 298-1400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NR0400X CE005517 MO Primary

Addresses

Primary practice location

11901 Saint Charles Rock Rd
Bridgeton, MO 63044-2623

Mailing address

11901 Saint Charles Rock Rd
Bridgeton, MO 63044-2623
Phone (314) 298-1400

Other names 1

  • Accident & Back Care Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1200960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200960000000",
    "number": "1992982946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11901 SAINT CHARLES ROCK RD",
            "city": "BRIDGETON",
            "state": "MO",
            "postal_code": "630442623",
            "telephone_number": "314-298-1400",
            "fax_number": "314-298-1401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11901 SAINT CHARLES ROCK RD",
            "city": "BRIDGETON",
            "state": "MO",
            "postal_code": "630442623",
            "telephone_number": "314-298-1400",
            "fax_number": "314-298-1401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONALD S. KREIDLER CHIROPRACTIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-22",
        "last_updated": "2008-01-22",
        "status": "A",
        "authorized_official_last_name": "KREIDLER",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-298-1400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "MO",
            "license": "CE005517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Accident & Back Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bridgeton, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2008; 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.