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 provides Pediatrics Physician services 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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