Individual provider Active NPI

Emily Meyer, DC

  • Chiropractor
  • O'Fallon, IL
National Provider Identifier
1710633466
Registry record updated Feb 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038013831 Issued in IL
Practice address
734 Cambridge Blvd Ste 100
O Fallon, IL 62269-1964
Phone
(618) 622-9780
Fax
(618) 622-9782
NPI assigned
Feb 22, 2022
Last updated
Feb 22, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038013831 IL Primary

Addresses

Primary practice location

734 Cambridge Blvd Ste 100
O Fallon, IL 62269-1964

Mailing address

734 Cambridge Blvd Ste 100
O Fallon, IL 62269-1964
Phone (618) 622-9780

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address emily@osbornefamilychiro.com

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
038013831ILMDChiropractor

Interoperability endpoints

  • Direct secure messaging: emily@osbornefamilychiro.com

NPI Registry JSON

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

{
    "created_epoch": "1645488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645488000000",
    "number": "1710633466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "734 CAMBRIDGE BLVD STE 100",
            "city": "O FALLON",
            "state": "IL",
            "postal_code": "622691964",
            "telephone_number": "618-622-9780",
            "fax_number": "618-622-9782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "734 CAMBRIDGE BLVD STE 100",
            "city": "O FALLON",
            "state": "IL",
            "postal_code": "622691964",
            "telephone_number": "618-622-9780",
            "fax_number": "618-622-9782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEYER",
        "first_name": "EMILY",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-22",
        "last_updated": "2022-02-22",
        "certification_date": "2022-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038013831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "emily@osbornefamilychiro.com",
            "affiliation": "N",
            "address_1": "734 Cambridge Blvd Ste 100",
            "city": "O Fallon",
            "state": "IL",
            "country_code": "US",
            "postal_code": "622691964",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in O'Fallon, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2022; 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.