Organization Active NPI

Jennifer Dailey Chiropractic PC

  • Chiropractor
  • Saint Peters, MO
National Provider Identifier
1306964408
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2005026466 Issued in MO
Legal business name
JENNIFER DAILEY CHIROPRACTIC PC
Doing business as
Dailey Chiropractic Care
Practice address
1116 Jungs Station Rd
Saint Peters, MO 63303-6086
Phone
(636) 939-2225
Fax
(636) 939-6704
NPI assigned
Mar 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Jennifer Lee Dailey, DCNPI 1386742443
Title
Owner Chiropractor
Phone
(636) 939-2225

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2005026466 MO Primary

Addresses

Primary practice location

1116 Jungs Station Rd
Saint Peters, MO 63303-6086

Mailing address

1116 Jungs Station Rd
Saint Peters, MO 63303-6086
Phone (636) 939-2225

Other names 1

  • Dailey Chiropractic Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060223000735 MO Part B Supplier - Clinic/Group Practice 8123034451 Receives reassigned benefits from 1 practitioner
Practice locations: Saint Charles, MO

National Provider Directory

National Provider Directory

Locations

1116 Jungs Station Rd
Saint Peters, MO 63303
Phone (636) 939-2225

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306964408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1116 JUNGS STATION RD",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633036086",
            "telephone_number": "636-939-2225",
            "fax_number": "636-939-6704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1116 JUNGS STATION RD",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633036086",
            "telephone_number": "636-939-2225",
            "fax_number": "636-939-6704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER DAILEY CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DAILEY",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER CHIROPRACTOR",
        "authorized_official_telephone_number": "636-939-2225",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2005026466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dailey Chiropractic Care",
            "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 Aug 22, 2020; 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.