Individual provider Active NPI

Courtney Kay Lehmen, D.C.

  • Chiropractor
  • O'Fallon, MO
National Provider Identifier
1871726091
Registry record updated Nov 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2009014528 Issued in MO
Practice address
9103 Phoenix Village Pkwy
O Fallon, MO 63368-4279
Phone
(636) 265-2566
Fax
(866) 418-4148
NPI assigned
Sep 4, 2009
Last updated
Nov 4, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2009014528 MO Primary

Addresses

Primary practice location

9103 Phoenix Village Pkwy
O Fallon, MO 63368-4279

Mailing address

9103 Phoenix Village Pkwy
O Fallon, MO 63368-4279
Phone (636) 265-2566

Other names 1

  • Dr. Courtney Kay Zindrick Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091118000329 MO Practitioner - Chiropractic 4385782085 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dynamic Chiropractic and Wellness CenterGroup PAC ID 5294873998, 2 clinicians

Practice addresses (Care Compare)

9961 Winghaven Blvd
Dr. Courtney Lehmen
O Fallon, MO 63368-3623
Phone (636) 252-2566

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2009014528MOMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Carter Family Chiropractic Chiropractor PastSince Aug 1, 2014 Accepting new patients

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, 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": "1252022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415059200000",
    "number": "1871726091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9103 PHOENIX VILLAGE PKWY",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633684279",
            "telephone_number": "636-265-2566",
            "fax_number": "866-418-4148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9103 PHOENIX VILLAGE PKWY",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633684279",
            "telephone_number": "636-265-2566",
            "fax_number": "866-418-4148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEHMEN",
        "first_name": "COURTNEY",
        "middle_name": "KAY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-04",
        "last_updated": "2014-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2009014528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COURTNEY",
            "last_name": "ZINDRICK",
            "middle_name": "KAY",
            "prefix": "DR.",
            "credential": "D.C.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Nov 4, 2014; 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.