Individual provider Active NPI

Berkley Schuppan, D.C.

  • Chiropractor
  • Saint Louis, MO
National Provider Identifier
1780120121
Registry record updated Oct 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2016042367 Issued in MO
Practice address
10050 Kennerly Rd Ste 2700
Saint Louis, MO 63128-2193
Phone
(314) 525-4250
NPI assigned
Jan 9, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2016042367 MO Primary

Addresses

Primary practice location

10050 Kennerly Rd Ste 2700
Saint Louis, MO 63128-2193

Mailing address

10050 Kennerly Rd Ste 2700
Saint Louis, MO 63128-2193
Phone (314) 525-4250

Other practice location 1

12700 Southfork Rd Ste 155
Saint Louis, MO 63128-3276
Phone (314) 525-4915

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170124000844 MO Practitioner - Chiropractic 3072895267 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Hospital SouthGroup PAC ID 8426962556, 45 clinicians
Mercy Hospitals East CommunitiesGroup PAC ID 1658276811, 92 clinicians

Practice addresses (Care Compare)

10050 Kennerly Rd
Suite 2700
Saint Louis, MO 63128-2106
Phone (314) 525-4250

15945 Clayton Rd
Suite 230
Ballwin, MO 63011-2490
Phone (636) 256-5200

Hospital & facility affiliations

  • Mercy Hospital South Hospital, Saint Louis, MO, CCN 260077
  • Mercy Hospital St Louis Hospital, Saint Louis, MO, CCN 260020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Hospitals East Communities Current Accepting new patients
Mercy Hospitals East Communities CurrentSince May 27, 2024 Accepting new patients
Mercy Hospitals East Communities Chiropractor CurrentSince May 27, 2024 Accepting new patients
Mercy Hospital South CurrentSince Apr 26, 2021 Accepting new patients
Jenny L Wiemann DCPC Chiropractor CurrentSince Dec 20, 2016 Accepting new patients
Mercy Hospital South CurrentSince Apr 26, 2021 Accepting new patients

Locations

15945 Clayton Rd
Ste 230
Ballwin, MO 63011
Phone (636) 256-5200

10010 Kennerly Rd
Saint Louis, MO 63128
Phone (314) 525-1328

12700 Southfork Rd
Ste 155
Saint Louis, MO 63128
Phone (314) 525-4915

10050 Kennerly Rd
Ste 2700
Saint Louis, MO 63128
Phone (314) 397-5672

615 S New Ballas Rd
Saint Louis, MO 63141
Phone (314) 251-4687

331 Jungermann Rd
Saint Peters, MO 63376
Phone (636) 928-5588

331 Jungermann Rd
Ste A
Saint Peters, MO 63376
Phone (636) 928-5588

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 and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1483920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696464000000",
    "number": "1780120121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10050 KENNERLY RD STE 2700",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631282193",
            "telephone_number": "314-525-4250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10050 KENNERLY RD STE 2700",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631282193",
            "telephone_number": "314-525-4250"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12700 Southfork Rd Ste 155",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631283276",
            "country_code": "US",
            "telephone_number": "314-525-4915",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHUPPAN",
        "first_name": "BERKLEY",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-09",
        "last_updated": "2023-10-05",
        "certification_date": "2023-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2016042367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2023; 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.