NPIMap

Organization Active NPI

Kelly K. Brinkman, D.C., LLC

  • Chiropractor
  • Wentzville, MO
National Provider Identifier
1275836454
Registry record updated Dec 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5824 Issued in MO
Legal business name
KELLY K. BRINKMAN, D.C., LLC
Practice address
1023 Main Plaza Dr
Wentzville, MO 63385-1170
Phone
(314) 800-8240
NPI assigned
Dec 10, 2010
Last updated
Dec 10, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2010

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

Authorized official

Name
Dr. Kelly Katherine Brinkman, D.C.NPI 1407171739
Title
Chiropractor
Phone
(314) 800-8240

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5824 MO Primary

Addresses

Primary practice location

1023 Main Plaza Dr
Wentzville, MO 63385-1170

Mailing address

1023 Main Plaza Dr
Wentzville, MO 63385-1170
Phone (314) 800-8240

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1291939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291939200000",
    "number": "1275836454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1023 MAIN PLAZA DR",
            "city": "WENTZVILLE",
            "state": "MO",
            "postal_code": "633851170",
            "telephone_number": "314-800-8240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1023 MAIN PLAZA DR",
            "city": "WENTZVILLE",
            "state": "MO",
            "postal_code": "633851170",
            "telephone_number": "314-800-8240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLY K. BRINKMAN, D.C., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-10",
        "last_updated": "2010-12-10",
        "status": "A",
        "authorized_official_last_name": "BRINKMAN",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "KATHERINE",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "314-800-8240",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "5824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wentzville, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.