NPIMap

Organization Active NPI

Chiropractic Family Wellness Center LLC

Doing business as Chiropractic Wellness Center

  • Chiropractor
  • Fenton, MO
National Provider Identifier
1487205530
Registry record updated May 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
CHIROPRACTIC FAMILY WELLNESS CENTER LLC
Doing business as
Chiropractic Wellness Center
Practice address
1747 Smizer Station Rd Ste 5
Fenton, MO 63026-2784
Phone
(636) 825-6555
NPI assigned
Sep 20, 2019
Last updated
May 29, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
SUNSET HILLS FAMILY CHIROPRACTIC LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 29, 2024

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

Authorized official

Name
Dr. Brittany J Warren, DCNPI 1821333824
Title
Owner
Phone
(314) 478-2117

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

1747 Smizer Station Rd Ste 5
Fenton, MO 63026-2784

Mailing address

1747 Smizer Station Rd Ste 5
Fenton, MO 63026-2784
Phone (314) 478-2117

Other identifiers 1

IdentifierTypeStateIssuer
1821333824OtherMOCHIROPRACTOR

Other names 1

  • Chiropractic Wellness Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191121000243 MO Part B Supplier - Clinic/Group Practice 0547692071 Receives reassigned benefits from 8 practitioners
Practice locations: Fenton, MO

National Provider Directory

National Provider Directory
Part of
Sunset Hills Fmly Chiro LLC

Locations

1747 Smizer Station Rd
Ste 4
Fenton, MO 63026
Phone (636) 825-6555

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1568937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716940800000",
    "number": "1487205530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1747 SMIZER STATION RD STE 5",
            "city": "FENTON",
            "state": "MO",
            "postal_code": "630262784",
            "telephone_number": "314-478-2117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1747 SMIZER STATION RD STE 5",
            "city": "FENTON",
            "state": "MO",
            "postal_code": "630262784",
            "telephone_number": "636-825-6555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC FAMILY WELLNESS CENTER LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUNSET HILLS FAMILY CHIROPRACTIC LLC",
        "enumeration_date": "2019-09-20",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A",
        "authorized_official_last_name": "WARREN",
        "authorized_official_first_name": "BRITTANY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-478-2117",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIROPRACTOR",
            "identifier": "1821333824",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chiropractic Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Chiropractic Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fenton, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.