Individual provider Active NPI

Brittany Jean Miller Warren, D.C.

  • Chiropractor
  • Saint Louis, MO
National Provider Identifier
1821333824
Registry record updated Oct 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2012041149 Issued in MO
Practice address
4600 S Lindbergh Blvd Ste 3
Saint Louis, MO 63127-1831
Phone
(314) 729-0027
Fax
(314) 729-1015
NPI assigned
Dec 1, 2012
Last updated
Oct 19, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2012041149 MO Primary

Addresses

Primary practice location

4600 S Lindbergh Blvd Ste 3
Saint Louis, MO 63127-1831

Mailing address

4600 S Lindbergh Blvd Ste 3
Saint Louis, MO 63127-1831
Phone (314) 729-0027

Other identifiers 2

IdentifierTypeStateIssuer
5720OtherMNLICENSE NUMBER
2012041149OtherMOLICENSE NUMBER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130524000544 MO Practitioner - Chiropractic 4385897016 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chiropractic Family Wellness Center LLCGroup PAC ID 0547692071, 5 clinicians
Sunset Hills Family Chiropractic LLCGroup PAC ID 5395982342, 8 clinicians

Practice addresses (Care Compare)

1747 Smizer Station Rd
Fenton, MO 63026-2784
Phone (636) 825-6555

4600 S Lindbergh Blvd
Suite 3
Saint Louis, MO 63127-1831
Phone (314) 729-0027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2012041149MOMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Sunset Hills Family Chiropractic LLC Chiropractor CurrentSince Apr 1, 2013 Accepting new patients
Chiropractic Family Wellness Center LLC Chiropractor CurrentSince Oct 4, 2019 Accepting new patients
McGregor Chiropractic PC Chiropractor PastSince Jan 1, 2007 Accepting new patients

Locations

1747 Smizer Station Rd
Ste 4
Fenton, MO 63026
Phone (636) 825-6555

1747 Smizer Station Rd
Ste 5
Fenton, MO 63026
Phone (636) 529-7000

4600 S Lindbergh Blvd
Ste 3
Saint Louis, MO 63127
Phone (314) 729-0027

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1354320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476835200000",
    "number": "1821333824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 S LINDBERGH BLVD STE 3",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631271831",
            "telephone_number": "314-729-0027",
            "fax_number": "314-729-1015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 S LINDBERGH BLVD STE 3",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631271831",
            "telephone_number": "314-729-0027",
            "fax_number": "314-729-1015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARREN",
        "first_name": "BRITTANY",
        "middle_name": "JEAN MILLER",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-01",
        "last_updated": "2016-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2012041149",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "5720",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "2012041149",
            "state": "MO"
        }
    ],
    "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 19, 2016; 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.