Individual provider Active NPI

Wendy Arron Ramboldt, DC

  • Chiropractor
  • Osage Beach, MO
National Provider Identifier
1639415615
Registry record updated Aug 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2010033754 Issued in MO
Practice address
3715 Osage Beach Pkwy
Suite 9
Osage Beach, MO 65065-8732
Phone
(573) 348-2649
NPI assigned
Dec 20, 2012
Last updated
Aug 3, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2010033754 MO Primary

Addresses

Primary practice location

3715 Osage Beach Pkwy
Suite 9
Osage Beach, MO 65065-8732

Mailing address

3715 Osage Beach Pkwy
Suite 9
Osage Beach, MO 65065-8732
Phone (573) 348-2649

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

Practice roles

OrganizationSpecialtyStatusNew patients
Goforth Health Center, LLC Past Accepting new patients
Pain Relief Associates LLC Chiropractor PastSince Apr 25, 2012 Accepting new patients

Organizations & group practices 3

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": "1355961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470182400000",
    "number": "1639415615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3715 OSAGE BEACH PKWY",
            "address_2": "SUITE 9",
            "city": "OSAGE BEACH",
            "state": "MO",
            "postal_code": "650658732",
            "telephone_number": "573-348-2649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3715 OSAGE BEACH PKWY",
            "address_2": "SUITE 9",
            "city": "OSAGE BEACH",
            "state": "MO",
            "postal_code": "650658732",
            "telephone_number": "573-348-2649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMBOLDT",
        "first_name": "WENDY",
        "middle_name": "ARRON",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-20",
        "last_updated": "2016-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2010033754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Osage Beach, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2016; 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.