Active NPI
Jane Louise Wibbenmeyer, D.C.
- Chiropractor
- Saint Louis, MO
National Provider Identifier
1952391492
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CE0005678
- Practice address
- 7539 Ravensridge Rd
Saint Louis, MO 63119-5502 - Phone
- (314) 918-8090
- Fax
- (314) 961-2954
- NPI assigned
- Oct 26, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CE0005678 | MO | Primary |
Addresses
Primary practice location
7539 Ravensridge Rd
Saint Louis, MO 63119-5502
Mailing address
7539 Ravensridge Rd
Saint Louis, MO 63119-5502
Phone (314) 918-8090
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101013000780 | MO | Practitioner - Chiropractic | 8426240102 | Practice locations: St Louis, MO |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Logan College of Chiropractic, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
8641 Watson Rd
Wibbenmeyer Chiropractic
St Louis, MO 63119-5109
Phone (314) 918-8090
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CE0005678 | MO | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wibbenmeyer Chiropractic | Chiropractor | Past | 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.
-
- Chiropractor
- Saint Louis, MO
- NPI 1043526270
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369958400000",
"number": "1952391492",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7539 RAVENSRIDGE RD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631195502",
"telephone_number": "314-918-8090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7539 RAVENSRIDGE RD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631195502",
"telephone_number": "314-918-8090",
"fax_number": "314-961-2954"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIBBENMEYER",
"first_name": "JANE",
"middle_name": "LOUISE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-10-26",
"last_updated": "2013-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MO",
"license": "CE0005678",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2013; 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.