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

Active since January 14, 2011Accepts Medicare Assignment
1404 TRIAD CENTER DR, SAINT PETERS, MO 63376(636) 352-0380(636) 352-2343 Get Directions Write a Review

NPPES record last updated: March 1, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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 Address1404 TRIAD CENTER DRSaint Peters, MO 63376-7351
Mailing Address1404 Triad Center DrSaint Peters, MO 63376-7351 · (636) 352-0380 · Fax (636) 352-2343
Fax(636) 352-2343
Sole ProprietorYes
Medical School CMSLogan College Of ChiropracticGraduated 2010
Enumeration DateJanuary 14, 2011
Last NPPES UpdateMarch 1, 2017
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.
1404 TRIAD CENTER DR, Saint Peters, MO 63376

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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

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.

Speech-Language Pathologist
1404 TRIAD CENTER DR
SAINT PETERS, MO 63376
Chiropractor
1404 TRIAD CENTER DR
SAINT PETERS, MO 63376
Speech-Language Pathologist
1404 TRIAD CENTER DR
SAINT PETERS, MO 63376
Clinic/Center
1404 TRIAD CENTER DR
SAINT PETERS, MO 63376

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 1404 Triad Center Dr, 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.

What insurance does Richard Blalock accept?

Health plans from 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 March 1, 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.