Active NPI
Brenda L Kingen, D.C.
- Chiropractor
- Saint Louis, MO
National Provider Identifier
1104097989
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 006146
- Practice address
- 2001 S Hanley Rd
Suite 220
Saint Louis, MO 63144-1518 - Phone
- (314) 646-0013
- Fax
- (314) 646-0014
- NPI assigned
- Mar 19, 2008
- Sex
- Female
- 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 | 006146 | MO | Primary |
Addresses
Primary practice location
2001 S Hanley Rd
Suite 220
Saint Louis, MO 63144-1518
Mailing address
2001 S Hanley Rd
Suite 220
Saint Louis, MO 63144-1518
Phone (314) 646-0013
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, 1993
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2001 S Hanley Rd
220 Kingen Chiropractic Wellness Ctr
St Louis, MO 63144-1517
Phone (314) 646-0013
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chiropractic & Acupuncture Associates, P.C. | Chiropractor | Current | Accepting new patients |
Locations
2001 S Hanley Rd
Ste 220
Saint Louis, MO 63144
Phone (314) 646-0013
Organizations & group practices 1
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.
-
- Chiropractor
- Saint Louis, MO
- NPI 1164527016
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205884800000",
"number": "1104097989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2001 S HANLEY RD",
"address_2": "SUITE 220",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631441518",
"telephone_number": "314-646-0013",
"fax_number": "314-646-0014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 S HANLEY RD",
"address_2": "SUITE 220",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631441518",
"telephone_number": "314-646-0013",
"fax_number": "314-646-0014"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KINGEN",
"first_name": "BRENDA",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-03-19",
"last_updated": "2008-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MO",
"license": "006146",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2008; 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.