Individual provider Active NPI

Amy A. Scheible, D.C.

  • Chiropractor
  • Villa Ridge, MO
National Provider Identifier
1205021839
Registry record updated Jun 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2007019138 Issued in MO
Practice address
5089 Coleman Rd
Villa Ridge, MO 63089-1416
Phone
(314) 306-1616
Fax
(833) 722-0255
NPI assigned
Sep 6, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2007019138 MO Primary

Addresses

Primary practice location

5089 Coleman Rd
Villa Ridge, MO 63089-1416

Mailing address

PO Box 170
Labadie, MO 63055-0170

Other identifiers 4

IdentifierTypeStateIssuer
1100646OtherMOASH ID
903377OtherMOHEALTHLINK ID
9663101OtherMOAETNA ID
716487OtherMOACN GROUP, INC.

Other names 1

  • Dr. Amy A. Webster Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080124000562 MO Practitioner - Chiropractic 5799867164 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5089 Coleman Rd
Villa Ridge, MO 63089-1416
Phone (314) 306-1616

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2007019138MOMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Scheible Chiropractic, LLC Chiropractor CurrentSince Jan 24, 2008 Accepting new patients
Midwest Consulting and Ime Past Accepting new patients

Locations

54 The Legends Pkwy
Ste 158
Eureka, MO 63025
Phone (636) 938-1010

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": "1189036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687046400000",
    "number": "1205021839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 170",
            "city": "LABADIE",
            "state": "MO",
            "postal_code": "630550170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5089 COLEMAN RD",
            "city": "VILLA RIDGE",
            "state": "MO",
            "postal_code": "630891416",
            "telephone_number": "314-306-1616",
            "fax_number": "833-722-0255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHEIBLE",
        "first_name": "AMY",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-06",
        "last_updated": "2023-06-18",
        "certification_date": "2023-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2007019138",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASH ID",
            "identifier": "1100646",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK ID",
            "identifier": "903377",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA ID",
            "identifier": "9663101",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACN GROUP, INC.",
            "identifier": "716487",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "WEBSTER",
            "middle_name": "A.",
            "prefix": "DR.",
            "credential": "D.C.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Villa Ridge, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2023; 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.