Active NPI
Jon Robert Pinkston, D.C.
- Chiropractor
- Weldon Spring, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2011001253
- 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, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2011001253 | MO | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Back on Track Eureka, LLC | Chiropractor | Past | Accepting new patients |
| Integrated Sport, Spine & Rehab | Past | 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.
-
dba Kinetic Spine & Rehab
- Rehabilitation Chiropractor
- Rockville, MD
- NPI 1518270842
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.