Individual provider Active NPI

Paige M Luth, DC

  • Chiropractor
  • Frontenac, MO
National Provider Identifier
1821701566
Registry record updated Feb 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2022049189 Issued in MO
Practice address
2051 South Lindbergh Blvd.
Frontenac, MO 63131
Phone
(314) 888-0858
NPI assigned
Dec 27, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 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 2022049189 MO Primary

Addresses

Primary practice location

2051 South Lindbergh Blvd.
Frontenac, MO 63131

Mailing address

2051 South Lindbergh Blvd.
Frontenac, MO 63131
Phone (314) 888-0858

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240213003884 MO Practitioner - Chiropractic 0446694848 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2022049189MOMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Life Clinic of Mo DC PC Chiropractor CurrentSince Mar 4, 2024 Accepting new patients

Locations

2051 S Lindbergh Blvd
Frontenac, MO 63131
Phone (314) 888-0858

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.

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Life Clinic of Mo DC PC 4 clinicians

Practice addresses (Care Compare)

2051 S Lindbergh Blvd
Frontenac, MO 63131-3504
Phone (314) 888-0858

NPI Registry JSON

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

{
    "created_epoch": "1672099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707264000000",
    "number": "1821701566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2051 SOUTH LINDBERGH BLVD.",
            "city": "FRONTENAC",
            "state": "MO",
            "postal_code": "63131",
            "telephone_number": "314-888-0858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2051 SOUTH LINDBERGH BLVD.",
            "city": "FRONTENAC",
            "state": "MO",
            "postal_code": "63131",
            "telephone_number": "314-888-0858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUTH",
        "first_name": "PAIGE",
        "middle_name": "M",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-27",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2022049189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frontenac, MO

Sources for this page

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