Active NPI
Xaivier T Tipler, D.C.
- Chiropractor
- Saint Louis, MO
National Provider Identifier
1114089133
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2006030819
- Practice address
- 305 Union Blvd
Saint Louis, MO 63108-1229 - Phone
- (314) 361-4650
- Fax
- (314) 361-4663
- NPI assigned
- Dec 15, 2006
- Sex
- Male
- Sole proprietor
- No
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 | 2006030819 | MO | Primary |
Addresses
Primary practice location
305 Union Blvd
Saint Louis, MO 63108-1229
Mailing address
1151 Marcus Aurelius Walk Apt B
Chesterfield, MO 63017-3058
Phone (314) 878-5997
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 299371 | Other | MO | GHP PIN |
| 000000218562 | Other | MO | BLUE CROSS PIN |
| 425559 | Other | MO | WELLCARE PIN |
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, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2050 Woodson Rd
Suite 101
Overland, MO 63114-5644
Phone (314) 447-0725
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2006030819 | MO | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Proficient Chiropractic West End | Chiropractor | Current | Accepting new patients |
| Tipler Chiropractic & Rehabilitation, Inc | Chiropractor | Current | Accepting new patients |
| Proficient Wellness LLC | Past | Accepting new patients |
Locations
305 Union Blvd
Saint Louis, MO 63108
Phone (314) 296-3075
2050 Woodson Rd
#101
Saint Louis, MO 63114
Phone (314) 447-0725
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 and National Provider Directory roles.
-
- Chiropractor
- Saint Louis, MO
- NPI 1093585226
-
- Chiropractor
- Overland, MO
- NPI 1316268071
-
- Family Medicine Physician
- Overland, MO
- NPI 1992305007
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1285718400000",
"number": "1114089133",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1151 MARCUS AURELIUS WALK APT B",
"city": "CHESTERFIELD",
"state": "MO",
"postal_code": "630173058",
"telephone_number": "314-878-5997"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "305 UNION BLVD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631081229",
"telephone_number": "314-361-4650",
"fax_number": "314-361-4663"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TIPLER",
"first_name": "XAIVIER",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-15",
"last_updated": "2010-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MO",
"license": "2006030819",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHP PIN",
"identifier": "299371",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS PIN",
"identifier": "000000218562",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE PIN",
"identifier": "425559",
"state": "MO"
}
],
"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 Sep 29, 2010; 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.