Active NPI
Charles Eugene Klinginsmith, D.C.
- Chiropractor
- Festus, MO
National Provider Identifier
1598767832
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CE004138
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 335496 | Other | MO | HEALTHLINK ID NUMBER |
| 1493532 | Other | MO | 1ST HEALTH PLAN |
| 17675 | Other | MO | MERCY |
| 418437 | Other | MO | PRINCIPAL |
| 4450023 | Other | MO | UNITED HEALTH CARE ID # |
| 15060 | Other | MO | BLUE CROSS ID NUMBER |
| 350053370 | Other | MO | RAILROAD MEDICARE |
| 144777 | Other | MO | HUMANA CHOICE |
| 982605 | Other | MO | ONE HEALTH PLAN |
| 119232 | Other | MO | GHP |
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
| License | State | Type | Specialty |
|---|---|---|---|
| CE004138 | MO | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Chiropractor
- Festus, MO
- NPI 1558487603
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.