Individual provider Active NPI

Charles Eugene Klinginsmith, D.C.

  • Chiropractor
  • Festus, MO
National Provider Identifier
1598767832
Registry record updated Apr 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CE004138 Issued in MO
Practice address
105 Borga Building
Festus, MO 63028-1136
Phone
(636) 937-3207
Fax
(636) 937-5307
NPI assigned
Jun 1, 2005
Reactivated
Mar 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CE004138 MO Primary

Addresses

Primary practice location

105 Borga Building
Festus, MO 63028-1136

Mailing address

620 Collins Dr
Festus, MO 63028-2077
Phone (636) 937-9200

Other identifiers 10

IdentifierTypeStateIssuer
335496OtherMOHEALTHLINK ID NUMBER
1493532OtherMO1ST HEALTH PLAN
17675OtherMOMERCY
418437OtherMOPRINCIPAL
4450023OtherMOUNITED HEALTH CARE ID #
15060OtherMOBLUE CROSS ID NUMBER
350053370OtherMORAILROAD MEDICARE
144777OtherMOHUMANA CHOICE
982605OtherMOONE HEALTH PLAN
119232OtherMOGHP

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
CE004138MOMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Klinginsmith Chiropractic Office Chiropractor Past 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586908800000",
    "number": "1598767832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 COLLINS DR",
            "city": "FESTUS",
            "state": "MO",
            "postal_code": "630282077",
            "telephone_number": "636-937-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 BORGA BUILDING",
            "city": "FESTUS",
            "state": "MO",
            "postal_code": "630281136",
            "telephone_number": "636-937-3207",
            "fax_number": "636-937-5307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLINGINSMITH",
        "first_name": "CHARLES",
        "middle_name": "EUGENE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-01",
        "last_updated": "2020-04-15",
        "certification_date": "2020-04-15",
        "deactivation_date": "2006-03-20",
        "reactivation_date": "2006-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "CE004138",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK ID NUMBER",
            "identifier": "335496",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "1ST HEALTH PLAN",
            "identifier": "1493532",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MERCY",
            "identifier": "17675",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRINCIPAL",
            "identifier": "418437",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE ID #",
            "identifier": "4450023",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS ID NUMBER",
            "identifier": "15060",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "350053370",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA CHOICE",
            "identifier": "144777",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ONE HEALTH PLAN",
            "identifier": "982605",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHP",
            "identifier": "119232",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Festus, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2020; 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.