Individual provider Active NPI

Ellie Victoria Kane, DC

  • Chiropractor
  • Saint Charles, MO
National Provider Identifier
1932860707
Registry record updated Apr 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2021006856 Issued in MO
Practice address
3904 S Old Highway 94 Ste 200
Saint Charles, MO 63304-2850
Phone
(636) 244-0686
NPI assigned
Jan 4, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 2021006856 MO
Chiropractor 111N00000X 2021006856 MO Primary

Addresses

Primary practice location

3904 S Old Highway 94 Ste 200
Saint Charles, MO 63304-2850

Mailing address

3904 S Old Highway 94 Ste 200
Saint Charles, MO 63304-2850
Phone (636) 244-0686

Other names 1

  • Dr. Elena Victoria Kane Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2021006856MOMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Wheeler Acupuncture & Functional Wellness Acupuncturist CurrentSince Jan 28, 2024 Accepting new patients

Locations

3904 S Old Highway 94
Ste 200
Saint Charles, MO 63304
Phone (636) 244-0686

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.

NPI Registry JSON

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

{
    "created_epoch": "1641254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713744000000",
    "number": "1932860707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3904 S OLD HIGHWAY 94 STE 200",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633042850",
            "telephone_number": "636-244-0686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3904 S OLD HIGHWAY 94 STE 200",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633042850",
            "telephone_number": "636-244-0686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANE",
        "first_name": "ELLIE",
        "middle_name": "VICTORIA",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-04",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MO",
            "license": "2021006856",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2021006856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELENA",
            "last_name": "KANE",
            "middle_name": "VICTORIA",
            "prefix": "DR.",
            "credential": "DC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Saint Charles, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.