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DR. GREGORY WADE EDSTROM D.C.
NPI 1447389119
Chiropractor in Affton, MO

Active since March 05, 2007
5714 S LINDBERGH BLVD, #7, AFFTON, MO 63123(314) 842-4929(314) 842-1829 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Gregory Wade Edstrom D.c. NPPES

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

DR. GREGORY WADE EDSTROM D.C. (NPI 1447389119) is an individual chiropractor in Affton, Missouri, licensed in Missouri (03699) and active in the NPI registry since March 2007. He is a graduate of Logan College Of Chiropractic (1973).

NPPES Registry Identity

NPI1447389119
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. GREGORY WADE EDSTROMCredential: D.C.
Location Address5714 S LINDBERGH BLVD, #7Affton, MO 63123-6955
Mailing Address5714 S Lindbergh Blvd, #7Affton, MO 63123-6955 · (314) 842-4929 · Fax (314) 842-1829
Phone(314) 842-4929
Fax(314) 842-1829
Sole ProprietorYes
Medical School CMSLogan College Of ChiropracticGraduated 1973
Enumeration DateMarch 5, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1447389119 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in MO · 03699
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.

5714 S LINDBERGH BLVD, Affton, MO 63123
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Gregory Wade Edstrom D.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4486795416
PECOS Enrollment IDI20100112000742

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 3-4 spinal regions 98941
Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.
390 services31 patients

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 Gregory Edstrom's NPI number?

The NPI number for Gregory Edstrom is 1447389119. It was assigned to this individual provider in the NPPES registry on March 5, 2007.

Where is Gregory Edstrom located?

Gregory Edstrom practices at 5714 S Lindbergh Blvd #7, Affton, MO 63123. The listed phone number is (314) 842-4929.

What is Gregory Edstrom's specialty?

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

Is Gregory Edstrom enrolled in Medicare?

Yes. Gregory Edstrom is registered in the Medicare PECOS enrollment system.

What insurance does Gregory Edstrom accept?

Health plans from Medica and UnitedHealthcare list Gregory Edstrom 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 Gregory Edstrom was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.