IDEAL PEDIATRIC WELLNESS, LLC
NPI 1710492228
Pediatrics in Saint Louis, MO

Q: What is Ideal Pediatric Wellness, LLC's NPI number?

The NPI number for Ideal Pediatric Wellness, LLC is 1710492228. It was assigned to this organization in the NPPES registry on December 6, 2017.

Q: What is Ideal Pediatric Wellness, LLC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Active since December 06, 2017

10007 KENNERLY RD STE C, SAINT LOUIS, MO 63128(314) 270-9355 Get Directions Write a Review

NPPES record last updated: December 6, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Ideal Pediatric Wellness, Llc NPPES

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

IDEAL PEDIATRIC WELLNESS, LLC (NPI 1710492228) is a healthcare organization registered as a pediatrics in Saint Louis, Missouri and active in the NPI registry since December 2017. The organization lists Jospeh Cangas, Member, as its authorized official.

NPPES Registry Identity

NPI1710492228

Entity TypeOrganization

Primary Taxonomy208000000X

Legal Business NameIDEAL PEDIATRIC WELLNESS, LLC

Location Address10007 KENNERLY RD STE CSaint Louis, MO 63128-2179

Mailing Address9788 Gerald DrSaint Louis, MO 63128-1708

Phone(314) 270-9355

Organization SubpartNo

Authorized OfficialJospeh CangasMember · (314) 270-9355

Enumeration DateDecember 6, 2017

✔ NPI 1710492228 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

10007 KENNERLY RD STE C, Saint Louis, MO 63128

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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

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

BWELL PHARMACY KENNERLY LLC

Pharmacy (Community/Retail Pharmacy)

10007 KENNERLY RD STE C
SAINT LOUIS, MO 63128

St. Louis County (314) 283-3393

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 Ideal Pediatric Wellness, LLC's NPI number?

The NPI number for Ideal Pediatric Wellness, LLC is 1710492228. It was assigned to this organization in the NPPES registry on December 6, 2017.

Where is Ideal Pediatric Wellness, LLC located?

Ideal Pediatric Wellness, LLC is located at 10007 Kennerly Rd Ste C, Saint Louis, MO 63128. The listed phone number is (314) 270-9355.

What is Ideal Pediatric Wellness, LLC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Ideal Pediatric Wellness, LLC was last updated on December 6, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.