Individual provider Active NPI

Steven Jerome Meacham, DC

  • Chiropractor
  • Wentzville, MO
National Provider Identifier
1932182235
Registry record updated Aug 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
004730 Issued in MO
Practice address
1023 Main Plaza Dr
Wentzville, MO 63385-1170
Phone
(636) 327-3333
Fax
(636) 639-8922
NPI assigned
Nov 22, 2005
Last updated
Aug 28, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 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 004730 MO Primary

Addresses

Primary practice location

1023 Main Plaza Dr
Wentzville, MO 63385-1170

Mailing address

1023 Main Plaza Dr
Wentzville, MO 63385-1170
Phone (636) 327-3333

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070628000079 MO Practitioner - Chiropractic 4486753696 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Family Chiropractic LLC Chiropractor CurrentSince Jun 28, 2007 Accepting new patients
Allied Health Care LLC Chiropractor PastSince Feb 28, 2007 Accepting new patients

Locations

520 Huber Park Ct
Weldon Spring, MO 63304
Phone (636) 329-8774

1023 Main Plaza Dr
Wentzville, MO 63385
Phone (636) 327-3333

1601 Wentzville Pkwy
Ste 101
Wentzville, MO 63385
Phone (636) 327-3333

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": "1132617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693180800000",
    "number": "1932182235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1023 MAIN PLAZA DR",
            "city": "WENTZVILLE",
            "state": "MO",
            "postal_code": "633851170",
            "telephone_number": "636-327-3333",
            "fax_number": "636-639-8922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1023 MAIN PLAZA DR",
            "city": "WENTZVILLE",
            "state": "MO",
            "postal_code": "633851170",
            "telephone_number": "636-327-3333",
            "fax_number": "636-639-8922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEACHAM",
        "first_name": "STEVEN",
        "middle_name": "JEROME",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-22",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "004730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wentzville, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.