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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.

ACTIVE FAMILY CHIROPRACTIC, LLC
NPI 1891090395
Clinic/Center in Saint Peters, MO

Active since January 14, 2011
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 18, 2026.

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

About Active Family Chiropractic, Llc NPPES

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

ACTIVE FAMILY CHIROPRACTIC, LLC (NPI 1891090395), doing business as Cardinal Chiropractic Of St. Peters, is a healthcare organization registered as a clinic/center in Saint Peters, Missouri and active in the NPI registry since January 2011. The organization lists Richard Wayne Blalock, Member/manager, as its authorized official.

NPPES Registry Identity

NPI1891090395
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameACTIVE FAMILY CHIROPRACTIC, LLC
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
Organization SubpartNo
Authorized OfficialRichard Wayne BlalockMember/manager · (636) 352-0380
Enumeration DateJanuary 14, 2011
Last NPPES UpdateSeptember 3, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 3, 2026
✔ NPI 1891090395 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in MO · 2011000744
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
235 JUNGERMANN RD STE 210, Saint Peters, MO 63376
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Other Names 2

Doing Business AsCardinal Chiropractic Of St. Peters
Doing Business AsCardinal Physical Medicine

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Active Family Chiropractic, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Richard Blalock, D.C.
Chiropractic
NPI 1639474133
235 JUNGERMANN RD STE 210
Saint Peters, MO 63376
(636) 352-0380
✔ Accepts MedicareSame address
Jenna Oshea, FNP
Nurse Practitioner
NPI 1922454719
1225 GRAHAM RD STE 1340C
Florissant, MO 63031
(314) 953-6093
✔ PECOS✔ Accepts Medicare13 mi
Edwin Dunteman, MD, MS
Anesthesiology
NPI 1427030956
1310 N MAIN ST
Rushville, IN 46173
(765) 932-7600
✔ PECOS281 mi

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

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 Active Family Chiropractic, LLC's NPI number?

The NPI number for Active Family Chiropractic, LLC is 1891090395. It was assigned to this organization in the NPPES registry on January 14, 2011. The provider is doing business as Cardinal Chiropractic of St. Peters and Cardinal Physical Medicine.

Where is Active Family Chiropractic, LLC located?

Active Family Chiropractic, LLC is located at 235 Jungermann Rd Ste 210, Saint Peters, MO 63376. The listed phone number is (636) 352-0380.

What is Active Family Chiropractic, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Active Family Chiropractic, LLC enrolled in Medicare?

Yes. Active Family Chiropractic, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Active Family Chiropractic, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Active Family Chiropractic, LLC, in Anesthesiology, Chiropractic and Nurse Practitioner. 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. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Active Family Chiropractic, LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Active Family Chiropractic, LLC 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 Active Family Chiropractic, LLC 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 50 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.