Organization Active NPI

Rise Family Chiropractic LLC

  • Chiropractor
  • Wentzville, MO
National Provider Identifier
1154037562
Registry record updated Jan 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
RISE FAMILY CHIROPRACTIC LLC
Practice address
1082 Crosswinds CT
Wentzville, MO 63385-4836
Phone
(330) 502-6306
NPI assigned
Jan 30, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2023

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

Authorized official

Name
Kalllie Fischer
Title
Owner
Phone
(330) 502-6306

Specialties & licenses 1

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

Addresses

Primary practice location

1082 Crosswinds CT
Wentzville, MO 63385-4836

Mailing address

709 Crooked Lake CT
Saint Charles, MO 63304-1068
Phone (330) 502-6306

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230803003662 MO Part B Supplier - Clinic/Group Practice 3577924752 Receives reassigned benefits from 2 practitioners
Practice locations: O Fallon, MO

National Provider Directory

National Provider Directory

Locations

2954 Highway K
O Fallon, MO 63368
Phone (636) 306-2244

Practitioners & affiliated clinicians

Practitioners 2

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": "1675036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675036800000",
    "number": "1154037562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 CROOKED LAKE CT",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633041068",
            "telephone_number": "330-502-6306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1082 CROSSWINDS CT",
            "city": "WENTZVILLE",
            "state": "MO",
            "postal_code": "633854836",
            "telephone_number": "330-502-6306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RISE FAMILY CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-30",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-28",
        "status": "A",
        "authorized_official_last_name": "FISCHER",
        "authorized_official_first_name": "KALLLIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-502-6306"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wentzville, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2023; 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.