Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Richard Wayne Blalock Jr., DC

Individual provider Chiropractor · NPI 1639474133

Dr. Richard Wayne Blalock Jr., DC is a Chiropractic in Saint Peters, Missouri. Graduated from Logan College of Chiropractic in 2010, 16 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
16
Trained at
Logan College of Chiropractic
Licensed in
MO
In the registry since
2011
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

1404 Triad Center Dr
Saint Peters, MO 63376-7351
Phone: (636) 352-0380
Fax: (636) 352-2343
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 2011000744 (MO)

Record details

NPI number1639474133
Entity typeIndividual (Type 1)
GenderMale
Credentials DC
Sole proprietorYes
NPI enumeratedJanuary 14, 2011
Last updated in NPPESMarch 1, 2017

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCHIROPRACTIC
Medical schoolLOGAN COLLEGE OF CHIROPRACTIC
Graduated 2010 (16 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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