ADVANCED WELLNESS CHIROPRACTIC LLC
NPI 1861901761
Chiropractor in Bridgeton, MO

Active since September 22, 2017
11520 SAINT CHARLES ROCK RD STE 104, BRIDGETON, MO 63044(314) 393-5391 Get Directions Write a Review

NPPES record last updated: March 21, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 21, 2026, Jul 14, 2023, Jul 21, 2022 and 1 more (4 updates tracked since 2017).

About Advanced Wellness Chiropractic Llc NPPES

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

ADVANCED WELLNESS CHIROPRACTIC LLC (NPI 1861901761) is a healthcare organization registered as a chiropractor in Bridgeton, Missouri and active in the NPI registry since September 2017. The organization lists Je'an-claude Dalton Bordeaux, Owner, as its authorized official.

NPPES Registry Identity

NPI1861901761
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameADVANCED WELLNESS CHIROPRACTIC LLC
Location Address11520 SAINT CHARLES ROCK RD STE 104Bridgeton, MO 63044-2732
Mailing Address11520 Saint Charles Rock Rd Ste 104Bridgeton, MO 63044-2732 · (314) 393-5391
Organization SubpartNo
Authorized OfficialJe'an-claude Dalton BordeauxOwner · (314) 393-5391
Enumeration DateSeptember 22, 2017
Last NPPES UpdateMarch 21, 20264 updates tracked since enumeration
NPPES CertifiedMarch 21, 2026
NPI 1861901761 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
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.
11520 SAINT CHARLES ROCK RD STE 104, Bridgeton, MO 63044

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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.

Chiropractor
11520 SAINT CHARLES ROCK RD STE 104
BRIDGETON, MO 63044

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 Advanced Wellness Chiropractic LLC's NPI number?

The NPI number for Advanced Wellness Chiropractic LLC is 1861901761. It was assigned to this organization in the NPPES registry on September 22, 2017.

Where is Advanced Wellness Chiropractic LLC located?

Advanced Wellness Chiropractic LLC is located at 11520 Saint Charles Rock Rd Ste 104, Bridgeton, MO 63044. The listed phone number is (314) 393-5391.

What is Advanced Wellness Chiropractic 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 Advanced Wellness Chiropractic LLC was last updated on March 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.