Winghaven Chiropractic PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

005845 Issued in MO

Legal business name

WINGHAVEN CHIROPRACTIC PC

Practice address

9979 Winghaven Blvd
Suite 204
O Fallon, MO 63368-3627

Phone

(636) 695-2100

NPI assigned

Mar 7, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Todd Joseph Stojeba, D.C.NPI 1457482259

Title

President

Phone

(636) 695-2100

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Todd J Stojeba, D.C.

  • Chiropractor
  • O Fallon, MO
  • NPI 1457482259
  Medicare reassignment NPD Authorized official
• Ratchanop Vasant, D.C.

  • Chiropractor
  • O Fallon, MO
  • NPI 1114294832
  NPD
• Scott Johann Arbaugh, M.D.

  • Behavioral Neurology & Neuropsychiatry Physician
  • O Fallon, MO
  • NPI 1861553513
  NPD (past)
• David Christopher Declue, D.C.

  • Chiropractor
  • O Fallon, MO
  • NPI 1063718732
  NPD (past)
• Kelsey Kingsborough, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Mexico, MO
  • NPI 1851942619
  NPD (past)
• Victoria Sanford, PMHMP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • O Fallon, MO
  • NPI 1568013993
  NPD (past)
• Bonnie J Wessler, L.C.S.W.

  • Clinical Social Worker
  • Warrenton, MO
  • NPI 1578631321
  NPD (past)

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305072000000",
    "number": "1992836506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9979 WINGHAVEN BLVD",
            "address_2": "SUITE 204",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633683627",
            "telephone_number": "636-695-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9979 WINGHAVEN BLVD",
            "address_2": "SUITE 204",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633683627",
            "telephone_number": "636-695-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINGHAVEN CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2011-05-11",
        "status": "A",
        "authorized_official_last_name": "STOJEBA",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "636-695-2100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "005845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kalissa Lynn Wilson, MS CCC-SLP
• Katelynn Wilson
• Margaret Ann Wilson, CCC SLP
• Nicholas B Wilson, M.D.
• Winemiller Family Dentistry, LLC
• Winghaven Pediatrics LLC
• Winghaven Womens Care Inc.
• Winghavenllc
• Leslie A Wiss, MA, LPC
• Dinah Witherspoon, DPT, PT, MHA, CGCM

• Chiropractor in O Fallon, MO
• Providers in O Fallon, MO by specialty
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2011; 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.