Well Life Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

WELL LIFE CHIROPRACTIC LLC

Practice address

16111 Manchester Rd Ste 101
Ellisville, MO 63011-2489

Phone

(618) 927-6810

NPI assigned

Mar 24, 2026

Last updated

Mar 24, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Carmen Jacoby, DCNPI 1154485316

Title

Owner/Chiropractor

Phone

(618) 927-6810

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Locations

Practitioners 1

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.

• Carmen Y Jacoby, D.C

  • Chiropractor
  • Saint Jacob, IL
  • NPI 1154485316

  MO

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1774310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774310400000",
    "number": "1730027384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16111 MANCHESTER RD STE 101",
            "city": "ELLISVILLE",
            "state": "MO",
            "postal_code": "630112489",
            "telephone_number": "618-927-6810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16111 MANCHESTER RD STE 101",
            "city": "ELLISVILLE",
            "state": "MO",
            "postal_code": "630112489",
            "telephone_number": "618-927-6810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELL LIFE CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-24",
        "last_updated": "2026-03-24",
        "certification_date": "2026-03-24",
        "status": "A",
        "authorized_official_last_name": "JACOBY",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "618-927-6810",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Bernard David Wilken, D.D.S.

• Chiropractor in Ellisville, MO
• Providers in Ellisville, MO by specialty
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2026; 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.