NPIMap

Organization Active NPI

Jenny L Wiemann DCPC

Doing business as Crosby Chiropractic Centre

  • Chiropractor
  • Saint Peters, MO
National Provider Identifier
1245452093
Registry record updated Jul 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
006000 Issued in MO
Legal business name
JENNY L WIEMANN DCPC
Doing business as
Crosby Chiropractic Centre
Practice address
331 Jungermann Rd
Saint Peters, MO 63376-5351
Phone
(636) 928-5588
Fax
(636) 922-0071
NPI assigned
May 2, 2007
Last updated
Jul 23, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2024

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

Authorized official

Name
Jenny L Wiemann, DCNPI 1093741407
Title
Owner
Phone
(636) 928-5588

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 006000 MO Primary

Addresses

Primary practice location

331 Jungermann Rd
Saint Peters, MO 63376-5351

Mailing address

331 Jungermann Rd
Saint Peters, MO 63376-5351
Phone (636) 928-5588

Other practice location 1

331 Jungermann Rd
Saint Peters, MO 63376
Phone (636) 928-5588

Other names 1

  • Crosby Chiropractic Centre Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050607000450 MO Part B Supplier - Clinic/Group Practice 3577506971 Receives reassigned benefits from 10 practitioners
Practice locations: Saint Peters, MO

National Provider Directory

National Provider Directory

Locations

331 Jungermann Rd
Saint Peters, MO 63376
Phone (636) 928-5588

331 Jungermann Rd
Ste A
Saint Peters, MO 63376
Phone (636) 928-5588

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721692800000",
    "number": "1245452093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "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"
        },
        {
            "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": [
        {
            "address_1": "331 Jungermann Rd",
            "address_purpose": "LOCATION",
            "city": "Saint Peters",
            "state": "MO",
            "postal_code": "63376",
            "country_code": "US",
            "telephone_number": "636-928-5588",
            "fax_number": "636-922-0071",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JENNY L WIEMANN DCPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-02",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A",
        "authorized_official_last_name": "WIEMANN",
        "authorized_official_first_name": "JENNY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "636-928-5588",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "006000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crosby Chiropractic Centre",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 23, 2024; 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.