Amanda Drum, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2021001553 Issued in MO

Practice address

1755 Stump Rd
Dardenne Prairie, MO 63368-6716

Phone

(636) 922-0777

NPI assigned

Jan 22, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Specialty

Chiropractic

Education

Logan College of Chiropractic, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Walton CS-IX IncGroup PAC ID 4688773617, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Walton CS-IX Inc

  dba Fink Chiropractic Center

  • Chiropractor
  • Dardenne Prairie, MO
  • NPI 1801981725
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1611273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611273600000",
    "number": "1376133413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "281 VIVARON AVE",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633034217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1755 STUMP RD",
            "city": "DARDENNE PRAIRIE",
            "state": "MO",
            "postal_code": "633686716",
            "telephone_number": "636-922-0777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRUM",
        "first_name": "AMANDA",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-22",
        "last_updated": "2021-01-22",
        "certification_date": "2021-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2021001553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Buck, COTA
• Kieran Carroll
• Elizabeth Ann Carter, MS, CCC-SLP
• Traci Yvonne Dansberry, PHARM.D., RPH
• Sabrina Dehn, COTA/L
• Spencer J Elmore, D.D.S, M.S.
• Expressions Dental Group
• F. Jay Ohmes DDS LLC (Better Sleep StL)
• F. Jay Ohmes DDS LLC
• James Alvin Faber, D.D.S.

• Chiropractor in Dardenne Prairie, MO
• Providers in Dardenne Prairie, MO by specialty
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 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.

Verify at the official NPI Registry.