Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ideal Pediatric Wellness, LLC

Organization Pediatrics Physician · NPI 1710492228

Ideal Pediatric Wellness, LLC is a Pediatrics Physician in Saint Louis, Missouri. Registered with an NPI since 2017.

In the registry since
2017
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

10007 Kennerly Rd Ste C
Saint Louis, MO 63128-2179
Phone: (314) 270-9355
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X

Record details

NPI number1710492228
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jospeh Cangas — Member · (314) 270-9355
NPI enumeratedDecember 6, 2017
Last updated in NPPESDecember 6, 2017
Mailing address9788 Gerald Dr, Saint Louis, MO 63128-1708

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