Organization Active NPI

Ashley Tankersley DC LLC

  • Chiropractor
  • Saint Louis, MO
National Provider Identifier
1114674041
Registry record updated Mar 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
ASHLEY TANKERSLEY DC LLC
Practice address
112 S Hanley Rd Ste 130
Saint Louis, MO 63105-3418
Phone
(314) 862-5700
Fax
(314) 862-6258
NPI assigned
Mar 10, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2022

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

Authorized official

Name
Dr. Ashley Adele Tankersley, DCNPI 1851714737
Title
Owner
Phone
(636) 734-4751

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

112 S Hanley Rd Ste 130
Saint Louis, MO 63105-3418

Mailing address

440 W Point CT
Saint Louis, MO 63130-4032
Phone (636) 734-4751

Other practice location 1

100 Sarah Ann Blvd
Troy, MO 63379-2038
Phone (636) 528-8282

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220323001383 MO Part B Supplier - Clinic/Group Practice 0547655805 Receives reassigned benefits from 1 practitioner
Practice locations: Troy, MO

National Provider Directory

National Provider Directory

Locations

100 Sarah Ann Blvd
Troy, MO 63379
Phone (636) 528-0831

75 The Plaza
Troy, MO 63379
Phone (636) 442-2626

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1646870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646870400000",
    "number": "1114674041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 W POINT CT",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631304032",
            "telephone_number": "636-734-4751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 S HANLEY RD STE 130",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631053418",
            "telephone_number": "314-862-5700",
            "fax_number": "314-862-6258"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Sarah Ann Blvd",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "MO",
            "postal_code": "633792038",
            "country_code": "US",
            "telephone_number": "636-528-8282",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ASHLEY TANKERSLEY DC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-10",
        "last_updated": "2022-03-10",
        "certification_date": "2022-03-10",
        "status": "A",
        "authorized_official_last_name": "TANKERSLEY",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_middle_name": "ADELE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "636-734-4751",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "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 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.