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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. RICHARD WAYNE BLALOCK JR. D.C.
NPI 1639474133
Chiropractor in Saint Peters, MO

Active since January 14, 2011Accepts Medicare Assignment
235 JUNGERMANN RD STE 210, SAINT PETERS, MO 63376(636) 352-0380(636) 352-2343 Get Directions Write a Review

NPPES record last updated: September 3, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 3, 2026, Mar 1, 2017 (2 updates tracked since 2017).

About Dr. Richard Wayne Blalock Jr. D.c. NPPES

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

DR. RICHARD WAYNE BLALOCK JR. D.C. (NPI 1639474133) is an individual chiropractor in Saint Peters, Missouri, licensed in Missouri (2011000744) and active in the NPI registry since January 2011. He is a graduate of Logan College Of Chiropractic (2010).

NPPES Registry Identity

NPI1639474133
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. RICHARD WAYNE BLALOCK JR.Credential: D.C.
Location Address235 JUNGERMANN RD STE 210Saint Peters, MO 63376-5365
Mailing Address235 Jungermann Rd Ste 210Saint Peters, MO 63376-5365 · (636) 352-0380 · Fax (636) 352-2343
Phone(636) 352-0380
Fax(636) 352-2343
Sole ProprietorYes
Medical School CMSLogan College Of ChiropracticGraduated 2010
Enumeration DateJanuary 14, 2011
Last NPPES UpdateSeptember 3, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 3, 2026
✔ NPI 1639474133 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in MO · 2011000744
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.
235 JUNGERMANN RD STE 210, Saint Peters, MO 63376
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Medica.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Richard Wayne Blalock Jr. D.c. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5799967295
PECOS Enrollment IDI20110304000141

Medicare Billing Reassignment

Medicare enrollment records show Richard Blalock reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Active Family Chiropractic, LLC
Same address
Clinic/Center
235 JUNGERMANN RD STE 210
Saint Peters, MO 63376
  • Reassigned Medicare billing, Missouri enrollment
  • 3 clinicians in this Medicare group
NPI 1891090395 (636) 352-0380

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

Other Providers at the Same Location NPPES 2

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

ACTIVE FAMILY CHIROPRACTIC, LLC
Clinic/Center
235 JUNGERMANN RD STE 210
SAINT PETERS, MO 63376
St. Charles County (636) 352-0380
BAUGH SPINE AND SPORT LLC
Clinic/Center
235 JUNGERMANN RD STE 210
SAINT PETERS, MO 63376
St. Charles County (636) 395-0992

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 Richard Blalock's NPI number?

The NPI number for Richard Blalock is 1639474133. It was assigned to this individual provider in the NPPES registry on January 14, 2011.

Where is Richard Blalock located?

Richard Blalock practices at 235 Jungermann Rd Ste 210, Saint Peters, MO 63376. The listed phone number is (636) 352-0380.

What is Richard Blalock's specialty?

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

Is Richard Blalock enrolled in Medicare?

Yes. Richard Blalock is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Richard Blalock's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Richard Blalock reassigns Medicare benefits to Active Family Chiropractic, LLC (Saint Peters, MO). The 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 Richard Blalock's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Richard Blalock accept?

Health plans from Anthem Blue Cross and Blue Shield and Medica list Richard Blalock as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Richard Blalock was last updated on September 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 58 days 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.