FENTON CHIROPRACTIC AND REHAB CENTER, INC (NPI# 1922121912) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922121912 |
| Entity Type | Organization |
| Organization Name | FENTON CHIROPRACTIC AND REHAB CENTER, INC |
| Other Organization Name | SPINAL CARE OF ST LOUIS |
| Practice Address |
651 Gravois Rd Fenton MO 63026-4136 |
| Practice Telephone | 6363056490 |
| Practice Fax Number | 6363056492 |
| Mailing Telephone | 6363056490 |
| Mailing Fax Number | 6363056492 |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. NATHAN WILLIAM HEIMGARTNER (PRESIDENT) |
| Authorized Official Telephone | 6363056490 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 2006000760 | MO | Chiropractic Providers |
| Other Name | Type Code |
|---|---|
| Spinal Care of St Louis | Doing Business As Name - Organization |
| Street Address |
651 GRAVOIS RD |
| City | FENTON |
| State | MO |
| Zip Code | 63026-4136 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871000372 | Allison Egler | Audiologist | 1011 Bowles Ave Ste 405, Fenton, MO 63026 | 2018-01-05 |
| 1629508213 | Holly Brooks Munson | Massage Therapist | 220 Copper Mountain Dr, Fenton, MO 63026 | 2017-06-15 |
| 1073978862 | Naomi Sharon | Nurse Practitioner | 1101 Bowles Avenue, Suite G50, Fenton, MO 63026 | 2015-12-21 |
| 1871981704 | Celtic Private Care of Il & Mo, LLC | In Home Supportive Care | 1653 Larkin Williams Road, Suite 201, Fenton, MO 63026 | 2014-12-30 |
| 1356747513 | Kristina Potts | Nurse Practitioner | 774 Gravois Bluffs Blvd Ste B, Fenton, MO 63026 | 2014-11-14 |
| 1245642420 | Physicians Health Group Medical Inc | General Practice | 960 S. Highway Dr, Fenton, MO 63026 | 2014-05-22 |
| 1598047409 | Kevin Eugene Bruce | Pharmacist | 1210 Sugar Creek, Fenton, MO 63026 | 2011-09-16 |
| 1215186382 | Concentra Health Services, Inc. | Clinic/Center | 128 Matrix Commons Dr., Fenton, MO 63026 | 2008-09-15 |
| 1790954410 | Castlewood Treatment Center LLC | Community/Behavioral Health | 1855 Bowles Ave, Suite 210, Fenton, MO 63026 | 2008-02-27 |
| 1073703617 | Christina R Baeres | Dietitian, Registered | 38 Majestic Ct, Fenton, MO 63026 | 2007-07-30 |
| Find all providers in zip 63026 | ||||
| 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 |
|---|---|---|---|---|
| 1033673389 | Revival Chiropractic LLC | Chiropractor | 464 Old Smizer Mill Rd, Fenton, MO 63026-3553 | 2019-01-30 |
| 1184046039 | Painless Chiropractic, Pllc | Chiropractor | 2803 W Silver Lake Rd, Fenton, MI 48430-2655 | 2014-01-13 |
| 1265871776 | Michael Ryan Zwiener | Chiropractor | 672 Gravois Bluffs Blvd, Fenton, MO 63026-7714 | 2013-06-18 |
| 1861751166 | Kyle Matthew Tiefel | Chiropractor | 1525 Bowles Ave Ste C, Fenton, MO 63026-2310 | 2012-05-08 |
| 1881902286 | Jaime L Rosewarne | Chiropractor | 1537 N Leroy St, Suite F, Fenton, MI 48430-2795 | 2010-09-20 |
| 1205157773 | Cambridge Medical for Men LLC | Chiropractor | 900 S Highway Dr Ste 300, Fenton, MO 63026-2042 | 2010-06-18 |
| 1215116751 | Richard Preston Stork | Chiropractor | 1549 N Leroy St, Suite B, Fenton, MI 48430-2790 | 2007-11-01 |
| 1912118191 | James P. Sweeney | Chiropractor | 20 Ashgate Ct, Fenton, MO 63026-3101 | 2007-05-27 |
| 1538288048 | Chiropractic Accident Center of Fenton, P.C. | Chiropractor | 408 Gravois Rd, Fenton, MO 63026-4133 | 2007-03-28 |
| 1922137165 | Keith Randall Denning | Chiropractor | 11371 N Fenton Rd, Fenton, MI 48430-9723 | 2007-03-05 |
| Find all providers in FENTON | ||||
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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.