Anna Konopelkin, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2023035399 Issued in MO

Practice address

12401 Olive Blvd Ste 103
Creve Coeur, MO 63141-5448

Phone

(314) 439-0777

NPI assigned

Sep 19, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1695081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695081600000",
    "number": "1124806294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12401 OLIVE BLVD STE 103",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631415448",
            "telephone_number": "314-439-0777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12401 OLIVE BLVD STE 103",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631415448",
            "telephone_number": "314-439-0777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONOPELKIN",
        "first_name": "ANNA",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-19",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "MO",
            "license": "2023035399",
            "primary": false
        },
        {
            "code": "111NP0017X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Pediatric Chiropractor",
            "state": "MO",
            "license": "2023035399",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2023035399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• King'S Medical Imaging Creve Coeur, LLC
• Violet Klenov, M.D.
• Lindsey Sumner Knapp, ATC
• Britney Kneibert
• Alexandra Kohlschreiber, OTR/L
• Micayla Koonce
• Erica Korte, PHARMD
• William Chris Kostman, M.D.
• Sarah Kovatovich, LPC
• Shannon Elizabeth Krakowski, MOTR/L

• Chiropractor in Creve Coeur, MO
• Providers in Creve Coeur, MO by specialty
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.