Individual provider Active NPI

Fatiha K McCaine, DC

  • Chiropractor
  • Saint Peters, MO
National Provider Identifier
1841344249
Registry record updated Sep 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2007007487 Issued in MO
Practice address
4231 North Saint Peters Parkway
Saint Peters, MO 63304-8579
Phone
(636) 928-0311
Fax
(636) 928-8670
NPI assigned
Jan 22, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2007007487 MO Primary

Addresses

Primary practice location

4231 North Saint Peters Parkway
Saint Peters, MO 63304-8579

Mailing address

4231 N Saint Peters Pkwy
Saint Peters, MO 63304-7384
Phone (636) 928-0311

Other identifiers 1

IdentifierTypeStateIssuer
260425249OtherMOMEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070425000165 MO Practitioner - Chiropractic 1951406693 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4231 N Saint Peters Pkwy
Saint Peters, MO 63304-7384
Phone (636) 928-0311

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2007007487MOMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Eden Chiropractic and Wellness Center Chiropractor CurrentSince Mar 27, 2007 Accepting new patients
Toni M Puzzo, DC, Inc. Chiropractor CurrentSince Jan 23, 2019 Accepting new patients

Locations

4231 N Saint Peters Pkwy
Saint Peters, MO 63304
Phone (636) 928-0311

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695600000000",
    "number": "1841344249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4231 N SAINT PETERS PKWY",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633047384",
            "telephone_number": "636-928-0311",
            "fax_number": "636-634-3485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4231 NORTH SAINT PETERS PARKWAY",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633048579",
            "telephone_number": "636-928-0311",
            "fax_number": "636-928-8670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCAINE",
        "first_name": "FATIHA",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-22",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2007007487",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "260425249",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Peters, MO

Sources for this page

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

Verify at the official NPI Registry.