Individual provider Active NPI

Jon Robert Pinkston, D.C.

  • Chiropractor
  • Weldon Spring, MO
National Provider Identifier
1013246214
Registry record updated Aug 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2011001253 Issued in MO
Practice address
5933 S Highway 94 Ste 207
Weldon Spring, MO 63304-5608
Phone
(636) 346-1395
Fax
(314) 289-4010
NPI assigned
Dec 17, 2009
Last updated
Aug 14, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2011001253 MO Primary

Addresses

Primary practice location

5933 S Highway 94 Ste 207
Weldon Spring, MO 63304-5608

Mailing address

5933 S Highway 94 Ste 207
Weldon Spring, MO 63304-5608
Phone (636) 346-1395

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110328000829 MO Practitioner - Chiropractic 1052594074 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1043 A Wolfrum Rd
Weldon Spring, MO 63304-7644
Phone (636) 346-1395

5933 S Hwy 94
Suite 207
Weldon Spring, MO 63304-5608
Phone (636) 346-1395

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2011001253MOMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Back on Track Eureka, LLC Chiropractor PastSince May 11, 2025 Accepting new patients
Integrated Sport, Spine & Rehab PastSince Jan 1, 2011 Accepting new patients

Networks

  • IL PPO Downstate
  • devoted network organization-2b183dd2-4e80-4977-80a6-4fdf0df4361d
  • IA HMO C-SNP
  • devoted network organization-27eb9117-6975-449a-a7ad-909243995ddc
  • devoted network organization-734447cc-691b-4aa7-a112-9c9c8698dcc9
  • IA HMO

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1261008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723593600000",
    "number": "1013246214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5933 S HIGHWAY 94 STE 207",
            "city": "WELDON SPRING",
            "state": "MO",
            "postal_code": "633045608",
            "telephone_number": "636-346-1395",
            "fax_number": "314-289-4010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5933 S HIGHWAY 94 STE 207",
            "city": "WELDON SPRING",
            "state": "MO",
            "postal_code": "633045608",
            "telephone_number": "636-346-1395",
            "fax_number": "314-289-4010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINKSTON",
        "first_name": "JON",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-12-17",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2011001253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weldon Spring, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.