Jennifer Lynn Drury, D.C.

Individual provider Active NPI Chiropractor · Bloomsdale, MO

NPI 1124244645 · NPPES record last updated Feb 12, 2014

Key facts

NPI
1124244645
Entity type
Individual (NPI type 1)
Primary specialty
Chiropractor 111N00000X
License
2006037923 (MO)
Practice address
37 Meyer LN
Bloomsdale, MO 63627-9138
Phone
(573) 483-3733
Fax
(573) 483-3735
NPI assigned
Apr 17, 2007
Sex
Female
Sole proprietor
Yes

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 and National Provider Directory roles.

Medicare Care Compare profile

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

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MO

Medicare enrollment records

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

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
2006037923MOMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Drury Chiropractic and Family Wellness LLC Chiropractor Current
since 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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2006037923 MO Yes

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 12, 2014.

{
    "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

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Sources for this page

Verify at the official NPI Registry.