Individual provider Active NPI

Mary Catherine Kreuter, D.C.

  • Chiropractor
  • Saint Louis, MO
National Provider Identifier
1548378953
Registry record updated Aug 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Practice address
7734 Watson Rd
Saint Louis, MO 63119-5407
Phone
(314) 968-9913
Fax
(314) 961-9931
NPI assigned
Aug 26, 2006
Last updated
Aug 23, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2000164012 MO
Chiropractor 111N00000X IL Primary

Addresses

Primary practice location

7734 Watson Rd
Saint Louis, MO 63119-5407

Mailing address

7734 Watson Rd
Saint Louis, MO 63119-5407
Phone (314) 968-9913

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038-009739ILMDChiropractor
2000164012MOMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Optimum Health Care Inc. Chiropractor PastSince May 1, 2007 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1156550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187827200000",
    "number": "1548378953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7734 WATSON RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631195407",
            "telephone_number": "314-968-9913",
            "fax_number": "314-961-9931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7734 WATSON RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631195407",
            "telephone_number": "314-968-9913",
            "fax_number": "314-961-9931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KREUTER",
        "first_name": "MARY",
        "middle_name": "CATHERINE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-26",
        "last_updated": "2007-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2000164012",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2007; 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.