Active NPI
Julie Ann Kreidler, D.C.
- Chiropractor
- Saint Louis, MO
National Provider Identifier
1821028002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CE006061
- Practice address
- 9785 Mackenzie Rd
Suite 100
Saint Louis, MO 63123-5438 - Phone
- (314) 638-0003
- NPI assigned
- Jul 4, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | CE006061 | MO | Primary |
Addresses
Primary practice location
9785 Mackenzie Rd
Suite 100
Saint Louis, MO 63123-5438
Mailing address
9785 Mackenzie Rd
Suite 100
Saint Louis, MO 63123-5438
Phone (314) 638-0003
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20031126000312 | MO | Practitioner - Chiropractic | 8325942774 | Practice locations: Saint Louis, MO |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Logan College of Chiropractic, 1992
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
9785 Mackenzie Rd
Saint Louis, MO 63123-5438
Phone (314) 638-0003
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CE006061 | MO | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1821028002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9785 MACKENZIE RD",
"address_2": "SUITE 100",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631235438",
"telephone_number": "314-638-0003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9785 MACKENZIE RD",
"address_2": "SUITE 100",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631235438",
"telephone_number": "314-638-0003"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KREIDLER",
"first_name": "JULIE",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MO",
"license": "CE006061",
"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 Jul 8, 2007; 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.