Active NPI
Berkley Schuppan, D.C.
- Chiropractor
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2016042367
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
- Mercy Hospital St Louis
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Hospitals East Communities | Current | Accepting new patients | |
| Mercy Hospitals East Communities | Current | Accepting new patients | |
| Mercy Hospitals East Communities | Chiropractor | Current | Accepting new patients |
| Mercy Hospital South | Current | Accepting new patients | |
| Jenny L Wiemann DCPC | Chiropractor | Current | Accepting new patients |
| Mercy Hospital South | Current | 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.
-
- Chiropractor
- Clarkson Valley, MO
- NPI 1790720282
-
- Chiropractor
- Saint Peters, MO
- NPI 1245452093
-
- Medicare Defined Swing Bed Hospital Unit
- Saint Louis, MO
- NPI 1033714209
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1427098169
-
- Land Ambulance
- Saint Louis, MO
- NPI 1881329902
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1427098169
Hospital
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.