Organization Active NPI

Drury Chiropractic and Family Wellness LLC

  • Chiropractor
  • Bloomsdale, MO
National Provider Identifier
1336328087
Registry record updated Nov 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
DRURY CHIROPRACTIC AND FAMILY WELLNESS LLC
Practice address
92 Mill Hill Rd
Bloomsdale, MO 63627
Phone
(573) 483-3733
Fax
(573) 483-3735
NPI assigned
Oct 30, 2007
Last updated
Nov 5, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2007

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

Authorized official

Name
Dr. Jennifer L Drury, DCNPI 1124244645
Title
Chiropractor
Phone
(573) 483-3733

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 NU Primary

Addresses

Primary practice location

92 Mill Hill Rd
Bloomsdale, MO 63627

Mailing address

PO Box 197
Bloomsdale, MO 63627-0197
Phone (573) 483-3733

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071105000237 MO Part B Supplier - Clinic/Group Practice 9335236595 Receives reassigned benefits from 1 practitioner
Practice locations: Bloomsdale, MO

National Provider Directory

National Provider Directory

Locations

92 Mill Hill Rd
Bloomsdale, MO 63627
Phone (573) 483-3733

92 Mill Hill Rd
Ste 102
Bloomsdale, MO 63627
Phone (573) 483-3733

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": "1193702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194220800000",
    "number": "1336328087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 197",
            "city": "BLOOMSDALE",
            "state": "MO",
            "postal_code": "636270197",
            "telephone_number": "573-483-3733",
            "fax_number": "573-483-3735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 MILL HILL RD",
            "city": "BLOOMSDALE",
            "state": "MO",
            "postal_code": "63627",
            "telephone_number": "573-483-3733",
            "fax_number": "573-483-3735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRURY CHIROPRACTIC AND FAMILY WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-30",
        "last_updated": "2007-11-05",
        "status": "A",
        "authorized_official_last_name": "DRURY",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "573-483-3733",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomsdale, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2007; 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.