Dettenmeier Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

DETTENMEIER CHIROPRACTIC LLC

Practice address

5650 Mexico Rd Ste 20
Saint Peters, MO 63376-1696

Phone

(636) 936-1100

NPI assigned

Dec 28, 2022

Last updated

Sep 6, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Adam Dettenmeier, DC

Title

Owner

Phone

(636) 542-8905

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bradley A Davis, D.C.

  • Chiropractor
  • Saint Peters, MO
  • NPI 1154427300
  NPD (past)

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

{
    "created_epoch": "1672185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1407569197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "232 BOONE HILLS DR",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633765362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5650 MEXICO RD STE 20",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633761696",
            "telephone_number": "636-936-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DETTENMEIER CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-28",
        "last_updated": "2023-09-06",
        "certification_date": "2023-09-06",
        "status": "A",
        "authorized_official_last_name": "DETTENMEIER",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "636-542-8905",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denis Savenko (Care Clinical Labzone)
• Dennis G. James, Jr., D.C., P.C.
• Kimberly Derque, BCBA
• Lynette Marie Dery, PT
• Jennifer Lynn Desy, CRNA
• Adam Dettenmeier, DC
• Paige Devening
• Madeline Ann Devereux
• Teresa E Devine, NP
• Jaimie Devoy

• Chiropractor in Saint Peters, MO
• Providers in Saint Peters, MO by specialty
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; 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.