EZELL CHIROPRACTIC
NPI 1982035440
Clinic/Center - Primary Care in Saint Charles, MO
NPI Status: Active since December 10, 2013
Contact Information
2201 1ST CAPITOL DR
SAINT CHARLES, MO
ZIP 63301
Phone: (636) 916-0660
- Organization
- Clinic/Center
- Primary Care
- Medicare Supplier
- Does Not Accept Medicare Approved Payment
- CLIA Number: 26D2184760
- CLIA Cert. Type: Practitioner Other
- CLIA Exp. Date: 05-25-2026
About EZELL CHIROPRACTIC
This page provides the complete NPI Profile along with additional information for Ezell Chiropractic, a primary care provider established in Saint Charles, Missouri operating as a Clinic/center, focusing in primary care . The healthcare provider is registered in the NPI registry with number 1982035440 assigned on December 2013. The practitioner's primary taxonomy code is 261QP2300X with license number 2013000467 (MO). The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's is doing business as Ezell Chiropractic. The authorized official of this NPI record is Dr. Glenn R. Ezell D.c. (Owner/doctor)
- NPI
- 1982035440
- Provider Legal Name
- EZELL CHIROPRACTIC LLC
- Other Organization Name
- EZELL CHIROPRACTIC
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 2201 1ST CAPITOL DR SAINT CHARLES, MO 63301
- Location Phone
- (636) 916-0660
- Mailing Address
- 2201 1ST CAPITOL DR SAINT CHARLES, MO 63301
- Mailing Phone
- (636) 916-0660
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-10-2013
- Last Update Date
- 09-14-2022
- Code Navigator
A primary care provider (PCP) like Ezell Chiropractic sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Ezell Chiropractic is a medicare supplier with PTAN 26716354 who does not accept Medicare assignment for all durable medical equipment and supplies. The provider may not accept the Medicare allowable as payment in full and may collect additional payment directly from the patient, and/or charge more than the Medicare allowable.The supplier carries the following product categories: Orthoses: Off-The-Shelf.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Primary Care
- Taxonomy Code
- 261QP2300X
- Type
- Ambulatory Health Care Facilities
- License No.
- 2013000467
- License State
- MO
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 261Q00000X | Ambulatory Health Care Facilities | Clinic/Center | 2013000467 (MO) |
Medical Equipment Supplier
The provider carries the following medical supplies product categories:
- PTAN
- 26716354
- Accepts Medicare Assignment
- NO
- Specialities List
- Medical Supply Company Other.
- Competitive Bidding
- NO
Supplies List
- Orthoses: Off-The-Shelf - Met pads, Heel pads, Heel spur pads
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 26D2184760
- Facility Type
- Practitioner Other
- Certificate Effective Date
- May 26, 2024
- Certificate Expiration Date
- May 25, 2026
- Laboratory Director
- GLENN R. EZELL
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Ezell Chiropractic to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 9 | 8 | 2 | 0 | 3 | 5 | 4 | 4 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 9 | 16 | 2 | 0 | 3 | 10 | 4 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 9 + 1 + 6 + 2 + 0 + 3 + 1 + 0 + 4 + 8 + 24 = 60 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1982035440 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1982035440, enumerated in the NPI registry as an "organization" on December 10, 2013
The provider is located at 2201 1st Capitol Dr Saint Charles, Mo 63301 and the phone number is (636) 916-0660
This medical organization specializes in Clinic/Center with taxonomy code 261QP2300X with a focus in Primary Care
The provider's CLIA number is 26D2184760 for a "practitioner other" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on December 10, 2013. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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