Chiropractic & Acupuncture Associates, P.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CE006146 Issued in MO

Legal business name

CHIROPRACTIC & ACUPUNCTURE ASSOCIATES, P.C.

Practice address

2001 S Hanley Rd
Suite 220
Saint Louis, MO 63144-1518

Phone

(314) 646-0013

Fax

(314) 646-0014

NPI assigned

Sep 14, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Brenda L Kingen, D.C., F.A.A.C.ANPI 1104097989

Title

Owner

Phone

(314) 646-0013

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Kingen Chiropractic Wellness Center Doing business as

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brenda L Kingen, D.C.

  • Chiropractor
  • Saint Louis, MO
  • NPI 1104097989
  Medicare reassignment NPD Authorized official
• Michael Joseph Bucher, DC

  • Chiropractor
  • Saint Louis, MO
  • NPI 1699359349
  Medicare reassignment NPD

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164527016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 S HANLEY RD",
            "address_2": "SUITE 220",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631441518",
            "telephone_number": "314-646-0013",
            "fax_number": "314-646-0014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 S HANLEY RD",
            "address_2": "SUITE 220",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631441518",
            "telephone_number": "314-646-0013",
            "fax_number": "314-646-0014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC & ACUPUNCTURE ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KINGEN",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-646-0013",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C., F.A.A.C.A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "CE006146",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "148025",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kingen Chiropractic Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Chiropractor in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.