Provider Demographics
NPI:1124000765
Name:WEBB, JOHN (MD, DC, MBA, MPH)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:
Last Name:WEBB
Suffix:
Gender:
Credentials:MD, DC, MBA, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10333 CLAYTON RD
Mailing Address - Street 2:
Mailing Address - City:ST. LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63131
Mailing Address - Country:US
Mailing Address - Phone:314-370-2737
Mailing Address - Fax:888-230-9544
Practice Address - Street 1:10333 CLAYTON RD
Practice Address - Street 2:
Practice Address - City:ST. LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63131
Practice Address - Country:US
Practice Address - Phone:314-370-2737
Practice Address - Fax:888-230-9544
Is Sole Proprietor?:No
Enumeration Date:2005-11-18
Last Update Date:2025-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20220432732083X0100X, 2083X0100X
KY5442111NX0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NX0100XChiropractic ProvidersChiropractorOccupational Health
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCSC2605Medicaid