CITY CHIROPRACTIC LLC
NPI 1366975005
Chiropractor in Saint Louis, MO

Active since April 10, 2017CLIA 26D2299087 · Waiver
2618 HAMPTON AVE, SAINT LOUIS, MO 63139(314) 932-1228 Get Directions Write a Review

NPPES record last updated: April 10, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About City Chiropractic Llc NPPES

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

CITY CHIROPRACTIC LLC (NPI 1366975005) is a healthcare organization registered as a chiropractor in Saint Louis, Missouri and active in the NPI registry since April 2017. The organization holds a CLIA Waiver certificate valid through February 12, 2028 and lists Brady Williams, Owner, as its authorized official.

NPPES Registry Identity

NPI1366975005
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameCITY CHIROPRACTIC LLC
Location Address2618 HAMPTON AVESaint Louis, MO 63139-2913
Mailing Address2618 Hampton AveSaint Louis, MO 63139-2913 · (314) 932-1228
Organization SubpartNo
Authorized OfficialBrady WilliamsOwner · (314) 932-1228
Enumeration DateApril 10, 2017
✔ NPI 1366975005 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in MO · 2012040930
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.
2618 HAMPTON AVE, Saint Louis, MO 63139

Other Identifiers 1

Other1821140112Npi

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

City Chiropractic Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to City Chiropractic LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Chiropractic
NPI 1821140112
634 N MAIN ST
Columbia, IL 62236
(618) 281-4111
✔ Accepts Medicare13 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 26D2299087

City Chiropractic LLC · Saint Louis, MO
Active · expires Feb 12, 2028
CLIA Number26D2299087
Laboratory TypePractitioner Other
Certificate Effective DateFebruary 13, 2026
Certificate Expiration DateFebruary 12, 2028
Laboratory DirectorBrady R. Williams
Laboratory Phone(314) 932-1228
Laboratory LocationCity Chiropractic LLC2618 Hampton Avenue, Saint Louis, MO 63139
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 City Chiropractic LLC's NPI number?

The NPI number for City Chiropractic LLC is 1366975005. It was assigned to this organization in the NPPES registry on April 10, 2017.

Where is City Chiropractic LLC located?

City Chiropractic LLC is located at 2618 Hampton Ave, Saint Louis, MO 63139. The listed phone number is (314) 932-1228.

What is City Chiropractic LLC's specialty?

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

Is City Chiropractic LLC enrolled in Medicare?

Yes. City Chiropractic LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through City Chiropractic LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to City Chiropractic LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does City Chiropractic LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D2299087) is associated with this NPI, valid through February 12, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for City Chiropractic LLC was last updated on April 10, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.