Individual provider Active NPI

Lynn Fey, DC

  • Chiropractor
  • Fenton, MO
National Provider Identifier
1134980253
Registry record updated Jan 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2024001504 Issued in MO
Practice address
1747 Smizer Station Rd Ste 4
Fenton, MO 63026-2784
Phone
(636) 825-6555
NPI assigned
Jan 16, 2024
Last updated
Jan 16, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2024001504 MO Primary

Addresses

Primary practice location

1747 Smizer Station Rd Ste 4
Fenton, MO 63026-2784

Mailing address

4600 S Lindbergh Blvd Ste 3
Saint Louis, MO 63127-1831
Phone (131) 447-8211

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240216002940 MO Practitioner - Chiropractic 3577907617 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chiropractic Family Wellness Center LLCGroup PAC ID 0547692071, 5 clinicians

Practice addresses (Care Compare)

1747 Smizer Station Rd
Fenton, MO 63026-2784
Phone (636) 825-6555

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Chiropractic Family Wellness Center LLC Chiropractor CurrentSince Feb 1, 2024 Accepting new patients
Chiropractic Wellness Center of St Louis LLC CurrentSince Jan 21, 2024 Accepting new patients

Locations

1747 Smizer Station Rd
Ste 4
Fenton, MO 63026
Phone (636) 825-6555

1747 Smizer Station Rd
Ste 5
Fenton, MO 63026
Phone (636) 529-7000

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": "1705363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705363200000",
    "number": "1134980253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 S LINDBERGH BLVD STE 3",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631271831",
            "telephone_number": "131-447-8211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1747 SMIZER STATION RD STE 4",
            "city": "FENTON",
            "state": "MO",
            "postal_code": "630262784",
            "telephone_number": "636-825-6555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEY",
        "first_name": "LYNN",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-16",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2024001504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fenton, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2024; 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.