Individual provider Active NPI

Kimberly Wert Ripley

  • Chiropractor
  • O'Fallon, MO
National Provider Identifier
1821954637
Registry record updated Dec 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2025053699 Issued in MO
Practice address
1297 Bryan Rd
O Fallon, MO 63366-3729
Phone
(636) 294-0070
NPI assigned
Dec 25, 2025
Last updated
Dec 25, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2025053699 MO Primary

Addresses

Primary practice location

1297 Bryan Rd
O Fallon, MO 63366-3729

Mailing address

1482 Parkside Commons CT Apt 302
Valley Park, MO 63088-1528
Phone (636) 294-0070

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260127003068 MO Practitioner - Chiropractic 4486132982 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1482 Parkside Commons CT
Apt 302
Valley Park, MO 63088-1523

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2025053699MOMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Agan Chiropractic Clinics LLC Chiropractor CurrentSince Jan 8, 2026 Accepting new patients

Locations

1297 Bryan Rd
O Fallon, MO 63366
Phone (636) 294-0070

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, 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": "1766620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766620800000",
    "number": "1821954637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1482 PARKSIDE COMMONS CT APT 302",
            "city": "VALLEY PARK",
            "state": "MO",
            "postal_code": "630881528",
            "telephone_number": "636-294-0070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1297 BRYAN RD",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633663729",
            "telephone_number": "636-294-0070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIPLEY",
        "first_name": "KIMBERLY",
        "middle_name": "WERT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-12-25",
        "last_updated": "2025-12-25",
        "certification_date": "2025-12-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2025053699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in O'Fallon, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 25, 2025; 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.