Organization Active NPI

Healthy Healing Chiropractic LLC

  • Point of Service
  • Wildwood, MO
National Provider Identifier
1639438260
Registry record updated Jul 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
License
2012013553 Issued in MO
Legal business name
HEALTHY HEALING CHIROPRACTIC LLC
Practice address
16925 Manchester Rd
Suite 1
Wildwood, MO 63040-1219
Phone
(636) 489-1616
NPI assigned
May 16, 2012
Last updated
Jul 21, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2014

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

Authorized official

Name
Dr. Glennia J Chitwood, D.C.NPI 1881953784
Title
Owner
Phone
(636) 489-1616

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Point of Service 305S00000X 2012013553 MO Primary

Addresses

Primary practice location

16925 Manchester Rd
Suite 1
Wildwood, MO 63040-1219

Mailing address

16925 Manchester Rd
Suite 1
Wildwood, MO 63040-1219
Phone (636) 489-1616

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120625000008 MO Part B Supplier - Clinic/Group Practice 1557526613 Practice locations: Wentzville, MO

National Provider Directory

National Provider Directory

Locations

16111 Manchester Rd
Ste 202
Ellisville, MO 63011
Phone (636) 489-1616

10807 Big Bend Rd
Ste 2
Saint Louis, MO 63122
Phone (314) 437-5008

16925 Manchester Rd
Ste 1
Wildwood, MO 63040
Phone (636) 458-7575

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1337126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405900800000",
    "number": "1639438260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16925 MANCHESTER RD",
            "address_2": "SUITE 1",
            "city": "WILDWOOD",
            "state": "MO",
            "postal_code": "630401219",
            "telephone_number": "636-489-1616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16925 MANCHESTER RD",
            "address_2": "SUITE 1",
            "city": "WILDWOOD",
            "state": "MO",
            "postal_code": "630401219",
            "telephone_number": "636-489-1616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY HEALING CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-16",
        "last_updated": "2014-07-21",
        "status": "A",
        "authorized_official_last_name": "CHITWOOD",
        "authorized_official_first_name": "GLENNIA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "636-489-1616",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "MO",
            "license": "2012013553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wildwood, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.