NEW BALANCE LAKE ST. LOUIS
NPI 1114165263
Durable Medical Equipment & Medical Supplies in Lake St Louis, MO

Q: What is New Balance Lake St. Louis's NPI number?

The NPI number for New Balance Lake St. Louis is 1114165263. It was assigned to this organization in the NPPES registry on January 28, 2009.

Q: What is New Balance Lake St. Louis's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

Active since January 28, 2009

21 MEADOWS CIRCLE DR, SUITE 314, LAKE ST LOUIS, MO 63367(636) 561-2204(636) 625-2611 Get Directions Write a Review

NPPES record last updated: January 28, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About New Balance Lake St. Louis NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NEW BALANCE LAKE ST. LOUIS (NPI 1114165263) is a healthcare organization registered as a durable medical equipment & medical supplies in Lake St Louis, Missouri and active in the NPI registry since January 2009. The organization lists Chad Louis Brown, Certified Pedorthist, as its authorized official.

NPPES Registry Identity

NPI1114165263

Entity TypeOrganization

Primary Taxonomy332B00000X

Legal Business NameNEW BALANCE LAKE ST. LOUIS

Location Address21 MEADOWS CIRCLE DR, SUITE 314Lake St Louis, MO 63367-4109

Mailing Address21 Meadows Circle Dr, Suite 314Lake St Louis, MO 63367-4109 · (636) 561-2204 · Fax (636) 625-2611

Phone(636) 561-2204

Fax(636) 625-2611

Organization SubpartYesParent: Brown's Enterprises

Authorized OfficialChad Louis BrownCertified Pedorthist · (636) 561-2204

Enumeration DateJanuary 28, 2009

✔ NPI 1114165263 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers

Taxonomy Code332B00000X

License✔ Licensed in MO · 013370

Definition

A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

21 MEADOWS CIRCLE DR, Lake St Louis, MO 63367

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is New Balance Lake St. Louis's NPI number?

The NPI number for New Balance Lake St. Louis is 1114165263. It was assigned to this organization in the NPPES registry on January 28, 2009.

Where is New Balance Lake St. Louis located?

New Balance Lake St. Louis is located at 21 Meadows Circle Dr Suite 314, Lake St Louis, MO 63367. The listed phone number is (636) 561-2204.

What is New Balance Lake St. Louis's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

When was this NPI record last updated?

The NPPES record for New Balance Lake St. Louis was last updated on January 28, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.