Individual provider Active NPI

Kristy A Thomson, D.C.

  • Chiropractor
  • Ballwin, MO
National Provider Identifier
1497802854
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2002007710 Issued in MO
Practice address
239 Ries Rd
Ballwin, MO 63021-4954
Phone
(314) 607-6025
Fax
(636) 394-4974
NPI assigned
Jan 5, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2002007710 MO Primary

Addresses

Primary practice location

239 Ries Rd
Ballwin, MO 63021-4954

Mailing address

239 Ries Rd
Ballwin, MO 63021-4954
Phone (314) 607-6025

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040802001076 MO Practitioner - Chiropractic 4789655010 Reassigns benefits to 2 organizations
Practice locations: Ballwin, MO

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Proactive Chiropractic, P.C.Group PAC ID 9638219405, 4 clinicians
Genesis Chiropractic LLCGroup PAC ID 7810232808, 2 clinicians

Practice addresses (Care Compare)

101 Richardson Xing
Arnold, MO 63010-6006
Phone (636) 464-8360

1520 Pkwy W
Proactive Chiropractic
Festus, MO 63028-2381
Phone (636) 937-0100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2002007710MOMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Proactive Chiropractic, P.C. Chiropractor CurrentSince Jul 24, 2018 Accepting new patients
Genesis Chiropractic, LLC Chiropractor CurrentSince Jan 6, 2020 Accepting new patients

Locations

101 Richardson Xing
Arnold, MO 63010
Phone (636) 464-8360

1520 Parkway W
Festus, MO 63028
Phone (636) 937-0100

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497802854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "239 RIES RD",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630214954",
            "telephone_number": "314-607-6025",
            "fax_number": "636-394-4974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239 RIES RD",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630214954",
            "telephone_number": "314-607-6025",
            "fax_number": "636-394-4974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMSON",
        "first_name": "KRISTY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2002007710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ballwin, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.