CHIROPRACTIC OF WILDWOOD, LLC
NPI 1205138120
Chiropractor in Wildwood, MO

Active since November 29, 2010
2476 TAYLOR RD, WILDWOOD, MO 63040(636) 458-7575(636) 458-7979 Get Directions Write a Review

NPPES record last updated: November 29, 2010. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Chiropractic Of Wildwood, Llc NPPES

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

CHIROPRACTIC OF WILDWOOD, LLC (NPI 1205138120) is a healthcare organization registered as a chiropractor in Wildwood, Missouri and active in the NPI registry since November 2010. The organization lists Mark Tal Holland, Chiropractor, as its authorized official.

NPPES Registry Identity

NPI1205138120
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameCHIROPRACTIC OF WILDWOOD, LLC
Location Address2476 TAYLOR RDWildwood, MO 63040-1222
Mailing Address2476 Taylor RdWildwood, MO 63040-1222 · (636) 458-7575 · Fax (636) 458-7979
Fax(636) 458-7979
Organization SubpartNo
Authorized OfficialMark Tal HollandChiropractor · (314) 495-4928
Enumeration DateNovember 29, 2010
NPI 1205138120 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in MO · 2002014997
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
2476 TAYLOR RD, Wildwood, MO 63040

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Chiropractor
2476 TAYLOR RD
GROVER, MO 63040
Chiropractor
2476 TAYLOR RD
WILDWOOD, MO 63040
Chiropractor
2476 TAYLOR RD
WILDWOOD, MO 63040
Chiropractor
2476 TAYLOR RD
WILDWOOD, MO 63040

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 Chiropractic Of Wildwood, LLC's NPI number?

The NPI number for Chiropractic Of Wildwood, LLC is 1205138120. It was assigned to this organization in the NPPES registry on November 29, 2010.

Where is Chiropractic Of Wildwood, LLC located?

Chiropractic Of Wildwood, LLC is located at 2476 Taylor Rd, Wildwood, MO 63040. The listed phone number is (636) 458-7575.

What is Chiropractic Of Wildwood, LLC's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Chiropractic Of Wildwood, LLC was last updated on November 29, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.