Individual provider Active NPI

Wendi Lorraine Jones, DC

  • Independent Medical Examiner Chiropractor
  • St Charles, MO
National Provider Identifier
1578768602
Registry record updated Mar 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Independent Medical Examiner ChiropractorTaxonomy code 111NI0013X
License
MO2003011569 Issued in MO
Practice address
918 Hemsath Road Suite 102B
St Charles, MO 63303
Phone
(636) 949-2771
Fax
(636) 949-2771
NPI assigned
Jun 19, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Independent Medical Examiner Chiropractor 111NI0013X MO2003011569 MO Primary

Addresses

Primary practice location

918 Hemsath Road Suite 102B
St Charles, MO 63303

Mailing address

2007 Lunenburg Road
St Peters, MO 63376-8123
Phone (636) 721-4872

Other identifiers 1

IdentifierTypeStateIssuer
MO2003011569OtherMOSTATE LICENSE

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
MO2003011569MOMDIndependent Medical Examiner Chiropractor

NPI Registry JSON

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

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267574400000",
    "number": "1578768602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2007 LUNENBURG ROAD",
            "city": "ST PETERS",
            "state": "MO",
            "postal_code": "633768123",
            "telephone_number": "636-721-4872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "918 HEMSATH ROAD SUITE 102B",
            "city": "ST CHARLES",
            "state": "MO",
            "postal_code": "63303",
            "telephone_number": "636-949-2771",
            "fax_number": "636-949-2771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "WENDI",
        "middle_name": "LORRAINE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-19",
        "last_updated": "2010-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NI0013X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Independent Medical Examiner",
            "state": "MO",
            "license": "MO2003011569",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "MO2003011569",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Charles, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2010; 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.