Individual provider Active NPI

Adam St. Peter, DC

  • Chiropractor
  • Springfield, MO
National Provider Identifier
1972263663
Registry record updated Dec 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2021039474 Issued in MO
Practice address
2144 E Republic Rd Ste A104
Springfield, MO 65804-4645
Phone
(417) 887-8075
Fax
(417) 887-8535
NPI assigned
Dec 22, 2021
Last updated
Dec 22, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2021039474 MO Primary

Addresses

Primary practice location

2144 E Republic Rd Ste A104
Springfield, MO 65804-4645

Mailing address

2144 E Republic Rd Ste A104
Springfield, MO 65804-4645
Phone (417) 887-8075

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220902001603 MO Practitioner - Chiropractic 3870977259 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Loehr Chiropractic and Acupuncture LLCGroup PAC ID 4486969748, 8 clinicians

Practice addresses (Care Compare)

2144 E Republic Rd
Suite A104
Springfield, MO 65804-4645
Phone (417) 887-8075

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Loehr Chiropractic and Acupuncture, LLC Chiropractor CurrentSince Jun 2, 2022 Accepting new patients

Locations

2144 E Republic Rd
Ste A104
Springfield, MO 65804
Phone (417) 887-8075

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, 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": "1640131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640131200000",
    "number": "1972263663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2144 E REPUBLIC RD STE A104",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658044645",
            "telephone_number": "417-887-8075",
            "fax_number": "417-887-8535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2144 E REPUBLIC RD STE A104",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658044645",
            "telephone_number": "417-887-8075",
            "fax_number": "417-887-8535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ST. PETER",
        "first_name": "ADAM",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-12-22",
        "last_updated": "2021-12-22",
        "certification_date": "2021-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2021039474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2021; 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.