DR. MICHAEL PAUL VAN HORENBEECK (NPI# 1649363888) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649363888 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL PAUL VAN HORENBEECK |
| Credential | DC |
| Practice Address |
16917 Manchester Rd Wildwood MO 63040 |
| Practice Telephone | 6364587787 |
| Practice Fax Number | 6364580911 |
| Mailing Telephone | 6364587787 |
| Mailing Fax Number | 6364580911 |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 006210 | MO | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BCBS | 31899 | 01 | |
| UHC | 4409026 | 01 | |
| GHP | 24782 | 01 | |
| HL | 260675 | 01 |
| Street Address |
16917 MANCHESTER RD |
| City | WILDWOOD |
| State | MO |
| Zip Code | 63040 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154959336 | Jacquelyn M Mellis | Social Worker | 2634 Hwy 109, Suite E, Wildwood, MO 63040 | 2020-04-01 |
| 1710359484 | Dierbergs Town Center Pharmacy | Pharmacy | 2460 Taylor Road, Wildwood, MO 63040 | 2015-10-21 |
| 1295175057 | Devin Willis | Family Medicine | 16555 Manchester Rd Ste 100, Wildwood, MO 63040 | 2013-06-26 |
| 1265748248 | Mary K Bland | Speech-Language Pathologist | 251 Plaza Dr, Wildwood, MO 63040 | 2010-08-27 |
| 1871726067 | Wildwood Internal Medicine, PC | Internal Medicine | 16759 Main Street, Suite 203, Wildwood, MO 63040 | 2009-09-03 |
| 1730274853 | Seth P Freedman | Dentist | 16920 Manchester Road, Wildwood, MO 63040 | 2006-10-04 |
| 1619332608 | Tonnya Marie Taggart | Nurse Practitioner | 16555 Manchester Rd Ste 110, Wildwood, MO 63040 | 2015-12-18 |
| 1477927556 | Forefront Dermatology, S.c. | Dermatology | 16516 Manchester Rd, Wildwood, MO 63040 | 2015-11-30 |
| 1881953784 | Glennia J Chitwood | Chiropractor | 16925 Manchester Rd, Suite 1, Wildwood, MO 63040 | 2012-05-11 |
| 1699314880 | Lauren Alison Medina | Chiropractor | 17197 New College Ave, Wildwood, MO 63040-1100 | 2020-01-05 |
| Find all providers in zip 63040 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699314880 | Lauren Alison Medina | Chiropractor | 17197 New College Ave, Wildwood, MO 63040-1100 | 2020-01-05 |
| 1689084972 | Michael L Masucci Dc LLC | Chiropractor | 2124 Babler Ridge Ln, Wildwood, MO 63038-1178 | 2014-05-07 |
| 1649553132 | Wildwood Health & Wellness Center, P.C. | Chiropractor | 16917 Manchester Rd., Wildwood, MO 63040-1209 | 2011-09-21 |
| 1386764835 | Jonathon E Langenbacher | Chiropractor | 2476 Taylor Rd, Wildwood, MO 63040-1222 | 2007-03-29 |
| 1326190638 | Kathleen M Burke-powers | Chiropractor | 2473 Wildwood Road, Wildwood, PA 15091 | 2007-01-17 |
| 1417058769 | Deborah Amundsen | Chiropractor | 118 E Rio Grande Ave, Wildwood, NJ 08260-4527 | 2006-09-26 |
| 1316989858 | Lanza Family Chiropractic, LLC | Chiropractor | 5207 Pacific Ave, Wildwood, NJ 08260-4436 | 2006-06-11 |
| 1760458038 | Steven R. Lawless | Chiropractor | 16921b Manchester Rd, Wildwood, MO 63040-1209 | 2006-02-27 |
| 1700872827 | Patrick J Bass | Chiropractor | 16921 Manchester Rd, Suite B, Wildwood, MO 63040-1209 | 2005-09-23 |
| 1447890470 | Lh Chiropractic LLC | Chiropractor | 17197 New College Ave, Wildwood, MO 63040-1100 | 2020-01-07 |
| Find all providers in WILDWOOD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.