Individual provider Active NPI

Kevin J Meuret, DC

  • Chiropractor
  • Chesterfield, MO
National Provider Identifier
1679620850
Registry record updated Apr 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2003006353 Issued in MO
Practice address
1585 Woodlake Dr
Suite 214
Chesterfield, MO 63017-5740
Phone
(314) 205-8858
Fax
(314) 205-1508
NPI assigned
Jan 3, 2007
Last updated
Apr 28, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2003006353 MO Primary

Addresses

Primary practice location

1585 Woodlake Dr
Suite 214
Chesterfield, MO 63017-5740

Mailing address

1585 Woodlake Dr
Suite 214
Chesterfield, MO 63017-5740
Phone (314) 205-8858

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
2003006353MOMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Allied Physicians Group LLC PastSince Sep 15, 2008 Accepting new patients
Ntco LLC PastSince Apr 23, 2012 Accepting new patients
Pain Relief Associates LLC Chiropractor PastSince Apr 30, 2003 Accepting new patients
Pain Management Partners LLC PastSince Jun 29, 2009 Accepting new patients
BPRC LLC PastSince Sep 1, 2012 Accepting new patients
NTC LLC PastSince Aug 22, 2011 Accepting new patients

Organizations & group practices 6

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": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240876800000",
    "number": "1679620850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1585 WOODLAKE DR",
            "address_2": "SUITE 214",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630175740",
            "telephone_number": "314-205-8858",
            "fax_number": "314-205-1508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1585 WOODLAKE DR",
            "address_2": "SUITE 214",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630175740",
            "telephone_number": "314-205-8858",
            "fax_number": "314-205-1508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEURET",
        "first_name": "KEVIN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-03",
        "last_updated": "2009-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2003006353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2009; 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.