Individual provider Active NPI

Rebecca Jane Skiljan, D.C.

  • Chiropractor
  • Chesterfield, MO
National Provider Identifier
1942669403
Registry record updated Feb 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2016002104 Issued in MO
Practice address
1851 Schoettler Rd
Chesterfield, MO 63017-5529
Phone
(636) 230-1744
Fax
(636) 207-2404
NPI assigned
Feb 12, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2016002104 MO Primary

Addresses

Primary practice location

1851 Schoettler Rd
Chesterfield, MO 63017-5529

Mailing address

1851 Schoettler Rd
Chesterfield, MO 63017-5529
Phone (636) 230-1744

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
2016002104MOMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Gray Family Chiropractic PLLC Chiropractor PastSince Feb 13, 2016 Accepting new patients

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": "1455235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455235200000",
    "number": "1942669403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1851 SCHOETTLER RD",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630175529",
            "telephone_number": "636-230-1744",
            "fax_number": "636-207-2404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1851 SCHOETTLER RD",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630175529",
            "telephone_number": "636-230-1744",
            "fax_number": "636-207-2404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKILJAN",
        "first_name": "REBECCA",
        "middle_name": "JANE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-12",
        "last_updated": "2016-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2016002104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2016; 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.