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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: August 02, 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

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JACOB DANIEL BRIEGLEB DC
Chiropractor
560 OLD SMIZER MILL RD
FENTON, MO 63026
St. Louis County (636) 492-1528
DR. WILLIAM CARPENTER DC
Chiropractor
560 OLD SMIZER MILL RD
FENTON, MO 63026
St. Louis County (636) 492-1528

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.

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.