Individual provider Active NPI

Maria Kathryn Schafer, D.C.

  • Chiropractor
  • O'Fallon, MO
National Provider Identifier
1376692418
Registry record updated Jan 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2005000400 Issued in MO
Practice address
2315 Technology Dr
Suite 107
O Fallon, MO 63368-7370
Phone
(636) 561-7774
Fax
(636) 625-8007
NPI assigned
Jan 9, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2005000400 MO Primary

Addresses

Primary practice location

2315 Technology Dr
Suite 107
O Fallon, MO 63368-7370

Mailing address

8245 Boone Blvd Ste 110
Vienna, VA 22182-3813
Phone (703) 356-8721

Other identifiers 3

IdentifierTypeStateIssuer
197615OtherMOBLUE CROSS BLUE SHIELD
670832OtherMOUNITED HEALTH CARE
764038OtherMOHEALTHLINK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Total Performance Chiropractic LLC Chiropractor CurrentSince Feb 2, 2025 Accepting new patients
Capital City Chiropractic Management PLC Chiropractor Current Accepting new patients
Pinnacle Chiropractic, PC Chiropractor Past Accepting new patients
Dynamic Chiropractic & Wellness Center Chiropractor Past Accepting new patients

Locations

8245 Boone Blvd
Ste 110
Vienna, VA 22182
Phone (703) 356-8721

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738022400000",
    "number": "1376692418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8245 BOONE BLVD STE 110",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823813",
            "telephone_number": "703-356-8721",
            "fax_number": "703-356-8722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2315 TECHNOLOGY DR",
            "address_2": "SUITE 107",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633687370",
            "telephone_number": "636-561-7774",
            "fax_number": "636-625-8007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHAFER",
        "first_name": "MARIA",
        "middle_name": "KATHRYN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-09",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2005000400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "197615",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "670832",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "764038",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in O'Fallon, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 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.