Active NPI
Nicole R Bumhoffer, DC
- Chiropractor
- Saint Peters, MO
National Provider Identifier
1215374285
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2013015698
- Practice address
- 331 Jungermann Rd
Saint Peters, MO 63376-5351 - Phone
- (636) 928-5588
- Fax
- (636) 922-0071
- NPI assigned
- May 30, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2013015698 | MO | Primary |
Addresses
Primary practice location
331 Jungermann Rd
Saint Peters, MO 63376-5351
Mailing address
7199 Kalamazoo Ave SE
Ste 234
Caledonia, MI 49316
Phone (616) 554-5070
Other names 1
- Nicole R Schmiedeknecht
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1506643200000",
"number": "1215374285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7199 KALAMAZOO AVE SE",
"address_2": "STE 234",
"city": "CALEDONIA",
"state": "MI",
"postal_code": "49316",
"telephone_number": "616-554-5070",
"fax_number": "616-554-5465"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "331 JUNGERMANN RD",
"city": "SAINT PETERS",
"state": "MO",
"postal_code": "633765351",
"telephone_number": "636-928-5588",
"fax_number": "636-922-0071"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUMHOFFER",
"first_name": "NICOLE",
"middle_name": "R",
"name_prefix": "Mrs.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-05-30",
"last_updated": "2017-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MO",
"license": "2013015698",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NICOLE",
"last_name": "SCHMIEDEKNECHT",
"middle_name": "R",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Saint Peters, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.