Active NPI
Brett Ashley Winchester, D.C.
- Chiropractor
- Troy, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2003011597
- Practice address
- 34 Professional Pkwy
Troy, MO 63379-2822 - Phone
- (366) 356-5557
- Fax
- (636) 775-2659
- NPI assigned
- Feb 12, 2007
- Last updated
- Dec 29, 2021
- Sex
- Male
- 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 | 2003011597 | MO | Primary |
Addresses
Primary practice location
34 Professional Pkwy
Troy, MO 63379-2822
Mailing address
34 Professional Pkwy
Troy, MO 63379-2822
Phone (636) 356-5557
Other practice location 1
40 Walter Ct
Moscow Mills, MO 63362-1197
Phone (636) 356-5557
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 551715 | Other | MO | HEALTHLINK |
| 7368716 | Other | MO | AETNA |
| 653134 | Other | MO | UNITED HEALTH CARE |
| 471354 | Other | MO | BLUE CROSS BLUE SHIELD MO |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | office@winspineandsport.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Logan College of Chiropractic, 2003
- Medicare assignment
- May accept Medicare assignment
- Group practices
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2003011597 | MO | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Winchester Chiropractic, P.C. | Chiropractor | Current | Accepting new patients |
| Erin McQueen DC, LLC | Chiropractor | Past | Accepting new patients |
Locations
40 Walter Ct
Moscow Mills, MO 63362
Phone (636) 356-5557
34 Professional Pkwy
Troy, MO 63379
Phone (636) 356-5557
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Winchester-Hilgefort Spine & Joint Center
- Chiropractor
- Moscow Mills, MO
- NPI 1568661080
-
- Chiropractor
- Pacific, MO
- NPI 1750766721
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1640736000000",
"number": "1255473864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34 PROFESSIONAL PKWY",
"city": "TROY",
"state": "MO",
"postal_code": "633792822",
"telephone_number": "636-356-5557",
"fax_number": "636-775-2659"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34 PROFESSIONAL PKWY",
"city": "TROY",
"state": "MO",
"postal_code": "633792822",
"telephone_number": "366-356-5557",
"fax_number": "636-775-2659"
}
],
"practiceLocations": [
{
"address_1": "40 Walter Ct",
"address_purpose": "LOCATION",
"city": "Moscow Mills",
"state": "MO",
"postal_code": "633621197",
"country_code": "US",
"telephone_number": "636-356-5557",
"fax_number": "636-356-5558",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WINCHESTER",
"first_name": "BRETT",
"middle_name": "ASHLEY",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-12",
"last_updated": "2021-12-29",
"certification_date": "2021-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MO",
"license": "2003011597",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHLINK",
"identifier": "551715",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7368716",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "653134",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD MO",
"identifier": "471354",
"state": "MO"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "office@winspineandsport.com",
"affiliation": "N",
"address_1": "34 Professional Pkwy",
"city": "Troy",
"state": "MO",
"country_code": "US",
"postal_code": "633792822",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Troy, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2021; 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.