New Balance Lake St. Louis
NPI 1114165263 · Durable Medical Equipment & Medical Supplies · Lake St Louis, MO
New Balance Lake St. Louis is a Durable Medical Equipment & Medical Supplies organization in Lake St Louis, MO (NPI 1114165263).
Provider details
- NPI number
- 1114165263
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Parent organization
- Brown'S Enterprises
- Organization subpart
- Yes
- Authorized official
- Chad Brown, Certified Pedorthist(636) 561-2204
- License
- 013370 (MO)
Specialties & taxonomies
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2009-01-28
- Last updated
- 2009-01-28
Frequently asked questions
- What is New Balance Lake St. Louis's NPI number?
- New Balance Lake St. Louis's National Provider Identifier (NPI) is 1114165263, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is New Balance Lake St. Louis?
- New Balance Lake St. Louis is classified in the NPPES registry as Durable Medical Equipment & Medical Supplies (Suppliers).
- Where is New Balance Lake St. Louis located?
- New Balance Lake St. Louis's practice location on file with NPPES is 21 Meadows Circle Dr, Lake St Louis, MO 63367-4109.
- What is New Balance Lake St. Louis's phone number?
- The practice phone number listed in the NPPES registry for New Balance Lake St. Louis is (636) 561-2204.
- Who is the authorized official for New Balance Lake St. Louis?
- The authorized official listed on New Balance Lake St. Louis's NPPES record is Chad Brown, Certified Pedorthist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is New Balance Lake St. Louis's NPI active?
- Yes — New Balance Lake St. Louis's NPI (1114165263) is active in the NPPES registry as of the last update on 2009-01-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.