Wildwood Chiropractic, Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

WILDWOOD CHIROPRACTIC, INC

Practice address

8000 Bonhomme Ave Ste 409
Saint Louis, MO 63105-3515

Phone

(314) 302-0333

NPI assigned

May 2, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Tracy Lynn Edelmann, DC

Title

President

Phone

(314) 302-0333

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743033600000",
    "number": "1437371234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8000 BONHOMME AVE STE 409",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631053515",
            "telephone_number": "314-302-0333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8000 BONHOMME AVE STE 409",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631053515",
            "telephone_number": "314-302-0333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILDWOOD CHIROPRACTIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-02",
        "last_updated": "2025-03-27",
        "certification_date": "2025-03-27",
        "status": "A",
        "authorized_official_last_name": "EDELMANN",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-302-0333",
        "authorized_official_name_prefix": "Dr.",
        "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": []
}

• Taylor Wildermuth, OTR/L
• Troy Shepard Wildes, MD
• Aaron Joshua Wildman
• Connie Jean Wildt, RD,LD
• Kristy Lynne Wildt, PA-C
• Karley Darlene Wileman, RBT
• Lauren Nicole Wiley, PA
• Lauren Elizabeth Sachs Wilfling, D.O., MBA
• Lawrence Wilfong, COTA/L
• Wilfred J Krenn, Psychotherapist

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 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.