Individual provider Active NPI

Ashley Lauren Lane-Brunjes, D.C.

  • Chiropractor
  • Labadie, MO
National Provider Identifier
1043484942
Registry record updated Sep 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2008010491 Issued in MO
Practice address
108 Front Street
Suite 101
Labadie, MO 63055-1301
Phone
(636) 742-3733
Fax
(636) 742-3633
NPI assigned
Apr 22, 2008
Last updated
Sep 9, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Chiropractor 111NP0017X 2008010491 MO
Sports Physician Chiropractor 111NS0005X 2008010491 MO
Chiropractor 111N00000X 2008010491 MO Primary

Addresses

Primary practice location

108 Front Street
Suite 101
Labadie, MO 63055-1301

Mailing address

117 Front St
Labadie, MO 63055-1236
Phone (636) 742-3733

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080813000734 MO Practitioner - Chiropractic 8224103056 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Back on Track Chiropractic, LLCGroup PAC ID 6406921246, 3 clinicians
Back on Track Eureka LLCGroup PAC ID 3173037496, 2 clinicians

Practice addresses (Care Compare)

117 Front St
Labadie, MO 63055-1238
Phone (636) 742-3733

409 Meramec Blvd
Eureka, MO 63025-3906
Phone (636) 429-2024

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Back on Track Chiropractic, LLC Chiropractor CurrentSince Jul 1, 2008 Accepting new patients
Back on Track Eureka, LLC Chiropractor CurrentSince May 19, 2025 Accepting new patients
Chiropro of Eureka, LLC Chiropractor PastSince Jun 22, 2021 Accepting new patients

Locations

409 Meramec Blvd
Eureka, MO 63025
Phone (636) 429-2024

108 Front St
Ste 101
Labadie, MO 63055
Phone (636) 742-3733

117 Front St
Labadie, MO 63055
Phone (636) 742-3733

Networks

  • IA HMO C-SNP
  • 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": "1208822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567987200000",
    "number": "1043484942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 FRONT ST",
            "city": "LABADIE",
            "state": "MO",
            "postal_code": "630551236",
            "telephone_number": "636-742-3733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 FRONT STREET",
            "address_2": "SUITE 101",
            "city": "LABADIE",
            "state": "MO",
            "postal_code": "630551301",
            "telephone_number": "636-742-3733",
            "fax_number": "636-742-3633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANE-BRUNJES",
        "first_name": "ASHLEY",
        "middle_name": "LAUREN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-22",
        "last_updated": "2019-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NP0017X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Pediatric Chiropractor",
            "state": "MO",
            "license": "2008010491",
            "primary": false
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "MO",
            "license": "2008010491",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2008010491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Labadie, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2019; 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.