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FRIDLEY CHIROPRACTIC, LLC
NPI 1124335286
Clinic/Center - Medical Specialty in Wentzville, MO

Active since September 09, 2010
1126 W PEARCE BLVD, STE 114, WENTZVILLE, MO 63385(636) 332-1769(636) 639-9235 Get Directions Write a Review

NPPES record last updated: September 9, 2010. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Fridley Chiropractic, Llc NPPES

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

FRIDLEY CHIROPRACTIC, LLC (NPI 1124335286) is a healthcare organization registered as a medical specialty in Wentzville, Missouri and active in the NPI registry since September 2010. The organization lists Amy Fridley, Single Member, as its authorized official.

NPPES Registry Identity

NPI1124335286
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameFRIDLEY CHIROPRACTIC, LLC
Location Address1126 W PEARCE BLVD, STE 114Wentzville, MO 63385-1053
Mailing Address1126 W Pearce Blvd, Ste 114Wentzville, MO 63385-1053 · (636) 332-1769 · Fax (636) 639-9235
Phone(636) 332-1769
Fax(636) 639-9235
Organization SubpartNo
Authorized OfficialAmy FridleySingle Member · (636) 332-1769
Enumeration DateSeptember 9, 2010
✔ NPI 1124335286 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
License✔ Licensed in MO · 2000161195
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
1126 W PEARCE BLVD, Wentzville, MO 63385
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Fridley Chiropractic, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Amy Fridley, D.C.
Chiropractic
NPI 1437115623
1 W KOENIG ST
Wentzville, MO 63385
(636) 332-1769
1.0 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 Fridley Chiropractic, LLC's NPI number?

The NPI number for Fridley Chiropractic, LLC is 1124335286. It was assigned to this organization in the NPPES registry on September 9, 2010.

Where is Fridley Chiropractic, LLC located?

Fridley Chiropractic, LLC is located at 1126 W Pearce Blvd Ste 114, Wentzville, MO 63385. The listed phone number is (636) 332-1769.

What is Fridley Chiropractic, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

Is Fridley Chiropractic, LLC enrolled in Medicare?

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

How many clinicians bill Medicare through Fridley Chiropractic, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Fridley 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Fridley Chiropractic, LLC was last updated on September 9, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.