Individual provider Active NPI

Jennifer Lynn Drury, D.C.

  • Chiropractor
  • Bloomsdale, MO
National Provider Identifier
1124244645
Registry record updated Feb 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2006037923 Issued in MO
Practice address
37 Meyer LN
Bloomsdale, MO 63627-9138
Phone
(573) 483-3733
Fax
(573) 483-3735
NPI assigned
Apr 17, 2007
Last updated
Feb 12, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2006037923 MO Primary

Addresses

Primary practice location

37 Meyer LN
Bloomsdale, MO 63627-9138

Mailing address

37 Meyer LN
P.O. Box 197
Bloomsdale, MO 63627-9138
Phone (573) 483-3733

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070803000231 MO Practitioner - Chiropractic 9739270844 Reassigns benefits to 1 organization

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)

37 Meyer LN
Bloomsdale, MO 63627-9138
Phone (573) 483-3733

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2006037923MOMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Drury Chiropractic and Family Wellness LLC Chiropractor CurrentSince Oct 1, 2007 Accepting new patients
Buchheit Chiropractic, P.C. Chiropractor Past Accepting new patients

Locations

37 Meyer Ln
Bloomsdale, MO 63627
Phone (573) 483-3733

Organizations & group practices 2

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": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392163200000",
    "number": "1124244645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 MEYER LN",
            "address_2": "P.O. BOX 197",
            "city": "BLOOMSDALE",
            "state": "MO",
            "postal_code": "636279138",
            "telephone_number": "573-483-3733",
            "fax_number": "573-483-3735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 MEYER LN",
            "city": "BLOOMSDALE",
            "state": "MO",
            "postal_code": "636279138",
            "telephone_number": "573-483-3733",
            "fax_number": "573-483-3735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRURY",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-17",
        "last_updated": "2014-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2006037923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomsdale, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2014; 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.