Momper Spine & Sport LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

MOMPER SPINE & SPORT LLC

Practice address

905 Main Plaza Dr
Wentzville, MO 63385-1168

Phone

(636) 856-1260

NPI assigned

May 20, 2025

Last updated

May 20, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mary Momper, DCNPI 1649080896

Title

Owner/Chiropractor

Phone

(260) 433-0687

Specialties & licenses 1

Addresses

Locations

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.

• Mary Momper, DC

  • Chiropractor
  • Wentzville, MO
  • NPI 1649080896
  NPD Authorized official

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

{
    "created_epoch": "1747699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747699200000",
    "number": "1295527877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1108 BONHOMME LAKE DR APT L",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631325307",
            "telephone_number": "260-433-0687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 MAIN PLAZA DR",
            "city": "WENTZVILLE",
            "state": "MO",
            "postal_code": "633851168",
            "telephone_number": "636-856-1260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOMPER SPINE & SPORT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-20",
        "last_updated": "2025-05-20",
        "certification_date": "2025-05-20",
        "status": "A",
        "authorized_official_last_name": "MOMPER",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "260-433-0687",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• MJT Enterprises (Lice Clinics of America St. Charles)
• Connor Ford Mobley, MA, LPC, NCC
• Teona Moeller, FNP-BC
• Craig Lee Moergen, APRN
• Emily Mohesky, LCSW
• Mary Momper, DC
• Taylor Montgomery Bridges, PH.D.
• Erin Elizabeth Montgomery, APRN
• Kristin Montgomery, MPT
• Peter Montgomery, MD

• Chiropractor in Wentzville, MO
• Providers in Wentzville, MO by specialty
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2025; 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.