Individual provider Active NPI

Cassandra Rose Cantu, DC

  • Chiropractor
  • O Fallon, MO
National Provider Identifier
1154182004
Registry record updated Mar 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2024001508 Issued in MO
Practice address
2530 Highway K
O Fallon, MO 63368-6625
Phone
(636) 978-5511
Fax
(888) 351-2941
NPI assigned
Jan 18, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 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 2024001508 MO Primary

Addresses

Primary practice location

2530 Highway K
O Fallon, MO 63368-6625

Mailing address

2530 Highway K
O Fallon, MO 63368-6625
Phone (636) 978-5511

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240207002017 MO Practitioner - Chiropractic 9234572181 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2023
Medicare assignment
May accept Medicare assignment
Group practices
Winchester Chiropractic, P.C.Group PAC ID 9638147432, 5 clinicians

Practice addresses (Care Compare)

34 Professional Pkwy
Troy, MO 63379-2822
Phone (636) 356-5557

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cowser Spine and Sport Chiropractor CurrentSince Jun 23, 2025 Accepting new patients
Winchester Chiropractic, P.C. Chiropractor CurrentSince Jun 2, 2025 Accepting new patients

Locations

2530 Highway K
O Fallon, MO 63368
Phone (636) 978-5511

34 Professional Pkwy
Troy, MO 63379
Phone (636) 356-5557

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.

NPI Registry JSON

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

{
    "created_epoch": "1705536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710201600000",
    "number": "1154182004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2530 HIGHWAY K",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633686625",
            "telephone_number": "636-978-5511",
            "fax_number": "888-351-2941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2530 HIGHWAY K",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633686625",
            "telephone_number": "636-978-5511",
            "fax_number": "888-351-2941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANTU",
        "first_name": "CASSANDRA",
        "middle_name": "ROSE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-18",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2024001508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in O Fallon, MO

Sources for this page

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