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REVIVAL CHIROPRACTIC LLC
NPI 1033673389
Chiropractor in Fenton, MO

Active since January 30, 2019
560 OLD SMIZER MILL RD, FENTON, MO 63026(636) 492-1528(314) 597-6565 Get Directions Write a Review

NPPES record last updated: February 13, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Revival Chiropractic Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

REVIVAL CHIROPRACTIC LLC (NPI 1033673389) is a healthcare organization registered as a chiropractor in Fenton, Missouri and active in the NPI registry since January 2019. The organization lists William Carpenter, Owner/chiropractor, as its authorized official.

NPPES Registry Identity

NPI1033673389
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameREVIVAL CHIROPRACTIC LLC
Location Address560 OLD SMIZER MILL RDFenton, MO 63026-3538
Mailing Address560 Old Smizer Mill RdFenton, MO 63026-3538 · (636) 492-1528 · Fax (314) 597-6565
Phone(636) 492-1528
Fax(314) 597-6565
Organization SubpartNo
Authorized OfficialWilliam CarpenterOwner/chiropractor · (636) 492-1528
Enumeration DateJanuary 30, 2019
Last NPPES UpdateFebruary 13, 2024
NPPES CertifiedFebruary 13, 2024
✔ NPI 1033673389 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
Definition
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.
560 OLD SMIZER MILL RD, Fenton, MO 63026
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Revival Chiropractic Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Revival Chiropractic LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Jacob Briegleb, DC
Chiropractic
NPI 1033628441
560 OLD SMIZER MILL RD
Fenton, MO 63026
(636) 492-1528
✔ Accepts MedicareSame address
William Carpenter, DC
Chiropractic
NPI 1225407463
560 OLD SMIZER MILL RD
Fenton, MO 63026
(636) 492-1528
✔ Accepts MedicareSame address
Christopher Mcdaniel, DC
Chiropractic
NPI 1548938368
120 N EAST ST
Tipton, IN 46072
(765) 675-3755
✔ Accepts Medicare266 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Revival Chiropractic LLC's NPI number?

The NPI number for Revival Chiropractic LLC is 1033673389. It was assigned to this organization in the NPPES registry on January 30, 2019.

Where is Revival Chiropractic LLC located?

Revival Chiropractic LLC is located at 560 Old Smizer Mill Rd, Fenton, MO 63026. The listed phone number is (636) 492-1528.

What is Revival Chiropractic LLC's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Revival Chiropractic LLC enrolled in Medicare?

Yes. Revival Chiropractic LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Revival Chiropractic LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Chiropractic, reassign their Medicare billing to Revival Chiropractic LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Revival Chiropractic LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 2 other insurers list Revival Chiropractic LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Revival Chiropractic LLC was last updated on February 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.