Fred David Feldewerth, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

006459 Issued in MO

Practice address

202 S Main St
O Fallon, MO 63366-2805

Phone

(636) 978-7700

Fax

(636) 978-7700

NPI assigned

Oct 24, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Specialty

Chiropractic

Education

Other, 1996

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• Feldewerth Chiropractic Inc

  • Chiropractor
  • O Fallon, MO
  • NPI 1043517162
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543968000000",
    "number": "1063595627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2130 CHICKADEE CT",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633664541",
            "telephone_number": "636-332-2097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 S MAIN ST",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633662805",
            "telephone_number": "636-978-7700",
            "fax_number": "636-978-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELDEWERTH",
        "first_name": "FRED",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2018-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "006459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Fawcett
• Feet for Miles
• Yasmine King Fehr, FPMHNP, RN
• Steven E Feit, MD
• Feldewerth Chiropractic Inc
• Madelaine Fencl
• Nina Marie Fensom, SLP
• Blake Ferando, DMD
• James Thomas Fetsch, DMD, PC
• FHHS HHA Mo LLC

• Chiropractor in O Fallon, MO
• Providers in O Fallon, MO by specialty
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2018; 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.