Individual provider Active NPI

Joshua A Kilpatrick, D.C

  • Chiropractor
  • Chesterfield, MO
National Provider Identifier
1386799682
Registry record updated Aug 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2007000313 Issued in MO
Practice address
132 Chesterfield Commons Rd E
Chesterfield, MO 63005-1440
Phone
(636) 530-1212
NPI assigned
Jan 24, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2007000313 MO Primary

Addresses

Primary practice location

132 Chesterfield Commons Rd E
Chesterfield, MO 63005-1440

Mailing address

132 Chesterfield Commons Rd E
Chesterfield, MO 63005-1440
Phone (636) 530-1212

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070430000198 MO Practitioner - Chiropractic 3678679156 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2006
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

132 Chesterfield Commons Rd E
Chesterfield, MO 63005-1440
Phone (636) 530-1212

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2007000313MOMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Sports & Family Chiropractic & Acupuncture Chiropractor CurrentSince Jun 10, 2011 Accepting new patients

Locations

132 Chesterfield Commons Rd E
Chesterfield, MO 63005
Phone (636) 530-1212

10510 Old Olive Street Rd
Saint Louis, MO 63141
Phone (314) 718-7971

Organizations & group practices 1

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": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597276800000",
    "number": "1386799682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 CHESTERFIELD COMMONS RD E",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630051440",
            "telephone_number": "636-530-1212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 CHESTERFIELD COMMONS RD E",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630051440",
            "telephone_number": "636-530-1212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILPATRICK",
        "first_name": "JOSHUA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-24",
        "last_updated": "2020-08-13",
        "certification_date": "2020-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2007000313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2020; 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.