JASON WIBBENMEYER CHIROPRACTIC, LLC (NPI# 1770996258) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770996258 |
| Entity Type | Organization |
| Organization Name | JASON WIBBENMEYER CHIROPRACTIC, LLC |
| Other Organization Name | INNOVATIVE HEALTH PARTNERS |
| Practice Address |
49 N Gore Ave Webster Groves MO 63119-2357 |
| Practice Telephone | 3142191888 |
| Mailing Telephone | 3142191888 |
| Enumeration Date | 2014-06-03 |
| Last Update Date | 2014-06-12 |
| Authorized Official Name | KIM STARK (OFFICE MANAGER) |
| Authorized Official Telephone | 3145205566 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 2011000732 | MO | Chiropractic Providers |
| Other Name | Type Code |
|---|---|
| Innovative Health Partners | Doing Business As Name - Organization |
| Street Address |
49 N GORE AVE |
| City | WEBSTER GROVES |
| State | MO |
| Zip Code | 63119-2357 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346360062 | Alethea Eller | Chiropractor | 49 N Gore Ave, Webster Groves, MO 63119-2357 | 2007-03-29 |
| 1457775173 | Alethea Eller, Dc PC | Chiropractor | 49 N Gore Ave, Webster Groves, MO 63119-2357 | 2014-02-17 |
| 1891090965 | Jason Wibbenmeyer | Chiropractor | 49 N Gore Ave, Webster Groves, MO 63119-2357 | 2011-01-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114525631 | Kaylen A Howard | Specialist/Technologist | No, No, MO 63119 | 2020-10-16 |
| 1053887612 | St. Gianna Pediatrics, LLC | Pediatrics | 7387 Watson Road, Shrewsbury, MO 63119 | 2018-10-22 |
| 1982140265 | Forefront Dermatology, S.c. | Dermatology | 8567 Watson Rd, Webster Groves, MO 63119 | 2017-01-11 |
| 1407308018 | Tyler Clark | Student in an Organized Health Care Education/Training Program | 7785 Keswick Pl, Saint Louis, MO 63119 | 2016-10-30 |
| 1396109880 | Ritesh Gandhi | Family Medicine | 7345 Watson Rd Ste 203, Saint Louis, MO 63119 | 2016-04-11 |
| 1568834489 | Antonio Robinson | Counselor | 330 N. Gore, Great Circle, Saint Louis, MO 63119 | 2015-10-30 |
| 1922484039 | Odessa Baker X | Dietary Manager | 525 N. Laclede Station Road, St. Louis, MO 63119 | 2015-07-31 |
| 1194114694 | Laura Maher | Social Worker | 201 W. Lockwood Ave, Suite 201, St. Louis, MO 63119 | 2015-01-21 |
| 1427314046 | Dick (richard) Ralph Brummett | Family Medicine | 711 S Laclede Sta Rd, # 2111, St Louis, MO 63119 | 2012-04-09 |
| 1972872935 | Dolliene A. Raabe | Social Worker | 8050 Watson Road, Suite 201, St. Louis, MO 63119 | 2011-12-21 |
| Find all providers in zip 63119 | ||||
| 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 |
|---|---|---|---|---|
| 1538301924 | Denise S Plaisance Dcpc | Chiropractor | 141 E Lockwood Ave, Webster Groves, MO 63119-3002 | 2009-03-31 |
| 1609043298 | Back & Neck Care Center of Webster Groves, LLC | Chiropractor | 604 E Lockwood Ave, Webster Groves, MO 63119-3219 | 2008-05-13 |
| 1346360062 | Alethea Eller | Chiropractor | 49 N Gore Ave, Webster Groves, MO 63119-2357 | 2007-03-29 |
| 1245358860 | Adam R Tanase | Chiropractor | 8057 Watson Rd, Webster Groves, MO 63119-5304 | 2007-03-26 |
| 1417071994 | Denise S. Plaisance | Chiropractor | 141 E. Lockwood, Webster Groves, MO 63119 | 2007-03-19 |
| 1679606362 | Donna Marie Mannello | Chiropractor | 113 W Lockwood Ave, Webster Groves, MO 63119-2915 | 2007-03-13 |
| 1144361080 | Geoffrey Donald Norton | Chiropractor | 23 N Gore Ave, Suite 208, Webster Groves, MO 63119-2300 | 2007-02-12 |
| 1225487853 | Kristan Wilson LLC | Chiropractor | 23 N Gore Ave, Ste 210, Webster Groves, MO 63119-2300 | 2016-06-04 |
| 1992150395 | Kristan M Wilson | Chiropractor | 23 N Gore Ave, Ste 210, Webster Groves, MO 63119-2300 | 2016-05-04 |
| 1457775173 | Alethea Eller, Dc PC | Chiropractor | 49 N Gore Ave, Webster Groves, MO 63119-2357 | 2014-02-17 |
| Find all providers in WEBSTER GROVES | ||||
| City | WEBSTER GROVES |
| Zip Code | 63119 |
Please comment or provide details below to improve the information on JASON WIBBENMEYER CHIROPRACTIC, LLC.
| 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.