Individual provider Active NPI

Abby Rose Painter, D.C.

  • Chiropractor
  • Labadie, MO
National Provider Identifier
1396090502
Registry record updated Jul 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2012023337 Issued in MO
Practice address
108 Front St
Suite 101
Labadie, MO 63055-1223
Phone
(636) 742-3733
NPI assigned
Jul 13, 2012
Last updated
Jul 13, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2012023337 MO Primary

Addresses

Primary practice location

108 Front St
Suite 101
Labadie, MO 63055-1223

Mailing address

1054 Arrowhead LN
Union, MO 63084-4555
Phone (636) 390-3640

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121024000253 MO Practitioner - Chiropractic 3678723830 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Back on Track Chiropractic, LLCGroup PAC ID 6406921246, 3 clinicians

Practice addresses (Care Compare)

117 Front St
Labadie, MO 63055-1238
Phone (636) 742-3733

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2012023337MOMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Back on Track Chiropractic, LLC Chiropractor CurrentSince Aug 1, 2012 Accepting new patients
Back on Track Eureka, LLC Chiropractor PastSince May 11, 2025 Accepting new patients
Chiropro of Eureka, LLC Chiropractor PastSince Jun 22, 2021 Accepting new patients

Locations

108 Front St
Ste 101
Labadie, MO 63055
Phone (636) 742-3733

117 Front St
Labadie, MO 63055
Phone (636) 742-3733

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1342137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342137600000",
    "number": "1396090502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1054 ARROWHEAD LN",
            "city": "UNION",
            "state": "MO",
            "postal_code": "630844555",
            "telephone_number": "636-390-3640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 FRONT ST",
            "address_2": "SUITE 101",
            "city": "LABADIE",
            "state": "MO",
            "postal_code": "630551223",
            "telephone_number": "636-742-3733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAINTER",
        "first_name": "ABBY",
        "middle_name": "ROSE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-13",
        "last_updated": "2012-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2012023337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Labadie, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2012; 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.