Individual provider Active NPI

Jason Michael Hamed, DC

  • Chiropractor
  • O Fallon, MO
National Provider Identifier
1760518021
Registry record updated Oct 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2006024311 Issued in MO
Practice address
111 Ofallon Commons Dr
O Fallon, MO 63368-7931
Phone
(636) 978-0970
NPI assigned
Feb 23, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2006024311 MO Primary

Addresses

Primary practice location

111 Ofallon Commons Dr
O Fallon, MO 63368-7931

Mailing address

111 Ofallon Commons Dr
O Fallon, MO 63368-7931
Phone (636) 978-0970

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241101000545 MO Practitioner - Chiropractic 4385541598 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2001
Medicare assignment
May accept Medicare assignment
Group practices
The Chiropractic Wellness Connection LLCGroup PAC ID 1355434341, 2 clinicians

Practice addresses (Care Compare)

111 O Fallon Commons Dr
O Fallon, MO 63368-7931

111 Ofallon Commons Dr
O Fallon, MO 63368-7931
Phone (636) 978-0970

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3665OKMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
The Chiropractic Wellness Connection, LLC Chiropractor CurrentSince Oct 17, 2024 Accepting new patients

Locations

111 Ofallon Commons Dr
O Fallon, MO 63368
Phone (636) 978-0970

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728259200000",
    "number": "1760518021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 OFALLON COMMONS DR",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633687931",
            "telephone_number": "636-978-0970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 OFALLON COMMONS DR",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633687931",
            "telephone_number": "636-978-0970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMED",
        "first_name": "JASON",
        "middle_name": "MICHAEL",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-23",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2006024311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in O Fallon, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.