DR. JACOB HEDGES UTTERBACK (NPI# 1730228248) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730228248 |
| Entity Type | Individual |
| Full Name | DR. JACOB HEDGES UTTERBACK |
| Credential | D.C. |
| Practice Address |
140 W Adams Ave Kirkwood MO 63122-4023 |
| Practice Telephone | 3149658084 |
| Practice Fax Number | 3149658612 |
| Mailing Telephone | 3149658084 |
| Mailing Fax Number | 3149658612 |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2009-04-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 2007000279 | MO | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | HEALTHLINK | 791611 | 01 |
| Street Address |
140 W ADAMS AVE |
| City | KIRKWOOD |
| State | MO |
| Zip Code | 63122-4023 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316174535 | Utterback Chiropractic, LLC | Clinic/Center | 140 W Adams Ave, Kirkwood, MO 63122-4023 | 2009-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659933174 | Keela Rushing | Physical Therapist | 439 S Kirkwood Rd Ste 200, Kirkwood, MO 63122 | 2019-07-04 |
| 1730643461 | Kirkwood Family Dental | Dentist | 333 S Kirkwood Road, Suite 105, Kirkwood, MO 63122 | 2019-01-28 |
| 1477061166 | Total Access Urgent Care, PC | Clinic/Center | 2980 Dougherty Ferry Rd, Saint Louis, MO 63122 | 2018-01-16 |
| 1760933469 | Missouri Cvs Pharmacy, L.l.c | Durable Medical Equipment & Medical Supplies | 10820 Manchester Rd, Kirkwood, MO 63122 | 2016-10-18 |
| 1518321041 | M. Kathleen Blanchard | Counselor | 11042 Manchester Rd., Kirkwood, MO 63122 | 2016-04-11 |
| 1265801914 | Kim Grega | Counselor | 700 S Kirkwood Rd, Kirkwood, MO 63122 | 2015-09-23 |
| 1245617943 | Mark Edward Taylor | Dentist | 610 North Geyer, Kirkwood, MO 63122 | 2015-05-01 |
| 1467843094 | Mary Elizabeth Boomgarden | Physical Therapist | 9645 Big Bend Boulevard, Saint Louis, MO 63122 | 2015-02-18 |
| 1760725717 | Michael Diller Counseling | Counselor | 144 W Madison Avenue, Kirkwood, MO 63122 | 2013-03-28 |
| 1427309954 | Anne Marie Delaplain | Dentist | 725 Laclede Station Road, Webster Groves, MO 63122 | 2012-09-24 |
| Find all providers in zip 63122 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780299164 | Michelle Marie Brungart | Chiropractor | 12201 Big Bend Rd Ste 200, Kirkwood, MO 63122-6831 | 2020-09-11 |
| 1225352255 | Brandon Cory Steele | Chiropractor | 1099 Milwaukee St Ste 240, Kirkwood, MO 63122-7360 | 2010-03-19 |
| 1407014111 | A Better Life Wellness Center LLC | Chiropractor | 11029 Manchester Rd, Kirkwood, MO 63122-1254 | 2008-05-29 |
| 1861665341 | Daniel Thomas Daly | Chiropractor | 110 W Argonne Alley, Kirkwood, MO 63122-4202 | 2008-04-07 |
| 1639392491 | Timothy Scott Johnson | Chiropractor | 11136 Manchester Rd, Rear, Kirkwood, MO 63122-1250 | 2007-04-10 |
| 1598842353 | James William Hankinson | Chiropractor | 11216 Manchester Road, Kirkwood, MO 63122 | 2006-11-01 |
| 1033220306 | Lori Huffman | Chiropractor | 11136 Manchester Rd # R, Kirkwood, MO 63122-1250 | 2006-08-31 |
| 1427004498 | Smith Chiropractic & Acupuncture LLC | Chiropractor | 10504 Manchester Rd, Kirkwood, MO 63122-1306 | 2006-05-25 |
| 1821070582 | Michael Vianin | Chiropractor | 1099 Milwaukee St, Suite 230, Kirkwood, MO 63122-7355 | 2005-11-17 |
| 1770091688 | Daniel Patrick Durkin | Chiropractor | 1099 Milwaukee St Ste 240, Kirkwood, MO 63122-7360 | 2018-01-12 |
| Find all providers in KIRKWOOD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.