Active NPI
Joshua M Fink, D.C., B.S.
- Chiropractor
- Dardenne Prairie, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2002001434
- Practice address
- 1755 Stump Rd
Dardenne Prairie, MO 63368-6716 - Phone
- (636) 922-0777
- Fax
- (636) 922-0833
- NPI assigned
- Jun 13, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2002001434 | MO | Primary |
Addresses
Primary practice location
1755 Stump Rd
Dardenne Prairie, MO 63368-6716
Mailing address
1755 Stump Rd
Dardenne Prairie, MO 63368-6716
Phone (636) 922-0777
Other practice location 1
5055 Highway N
Ste 210
Saint Charles, MO 63304-8034
Phone (636) 922-0777
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 170328 | Other | MO | BLUE CROSS BLUE SHIELD |
| 513802 | Other | MO | HEALTHLINK |
| 861060218 | Other | MO | MUTUAL OF OMAHA COMPANIES |
| 861060218 | Other | MO | HUMANA, INC. |
| 861060218 | Other | MO | UNITED HEALTHCARE |
| 3713696 | Other | MO | CARPENTERS HEALTH & WELFARE |
| DB1222 | Other | MO | RAILROAD MEDICARE |
| 568329 | Other | MO | COVENTRY HEALTH & LIFE INSURANCE COMPANY |
| 86-1060218 003 | Other | MO | WELFARD EDUCATIONAL FUND |
| 861060218 | Other | MO | CMR |
| 861060218 | Other | MO | UNITED HEALTH CARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Logan College of Chiropractic, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1755 Stump Rd
Dardenne Prairie, MO 63368-6716
Phone (636) 922-0777
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Bachelor of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walton CS-IX Inc | Chiropractor | Current | Accepting new patients |
| Primary Care Chiropractic LLC | Chiropractor | Past | Accepting new patients |
Locations
1755 Stump Rd
O Fallon, MO 63368
Phone (636) 922-0777
5055 Highway N
Saint Charles, MO 63304
Phone (636) 922-0777
5055 Highway N
Ste 210
Saint Charles, MO 63304
Phone (636) 922-0777
Organizations & group practices 2
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.
-
- Chiropractor
- Ballwin, MO
- NPI 1003856832
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621468800000",
"number": "1396749875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1755 STUMP RD",
"city": "DARDENNE PRAIRIE",
"state": "MO",
"postal_code": "633686716",
"telephone_number": "636-922-0777",
"fax_number": "636-922-0833"
},
{
"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",
"fax_number": "636-922-0833"
}
],
"practiceLocations": [
{
"address_1": "5055 Highway N",
"address_2": "Ste 210",
"address_purpose": "LOCATION",
"city": "Saint Charles",
"state": "MO",
"postal_code": "633048034",
"country_code": "US",
"telephone_number": "636-922-0777",
"fax_number": "636-922-0833",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FINK",
"first_name": "JOSHUA",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "D.C., B.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-13",
"last_updated": "2021-05-20",
"certification_date": "2021-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MO",
"license": "2002001434",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "170328",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHLINK",
"identifier": "513802",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MUTUAL OF OMAHA COMPANIES",
"identifier": "861060218",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA, INC.",
"identifier": "861060218",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "861060218",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARPENTERS HEALTH & WELFARE",
"identifier": "3713696",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "DB1222",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COVENTRY HEALTH & LIFE INSURANCE COMPANY",
"identifier": "568329",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELFARD EDUCATIONAL FUND",
"identifier": "86-1060218 003",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CMR",
"identifier": "861060218",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "861060218",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dardenne Prairie, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.