MJN CHIROPRACTIC LLC
NPI 1639002728
Chiropractor in Bonne Terre, MO

Active since June 08, 2026
21 W SCHOOL ST, BONNE TERRE, MO 63628(573) 358-7655 Get Directions Write a Review

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

About Mjn Chiropractic Llc NPPES

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

MJN CHIROPRACTIC LLC (NPI 1639002728) is a healthcare organization registered as a chiropractor in Bonne Terre, Missouri and active in the NPI registry since June 2026. The organization lists Mason Pratt, Provider/owner, as its authorized official.

NPPES Registry Identity

NPI1639002728
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameMJN CHIROPRACTIC LLC
Location Address21 W SCHOOL STBonne Terre, MO 63628-1509
Mailing Address21 W School StBonne Terre, MO 63628-1509 · (573) 358-7655
Organization SubpartNo
Authorized OfficialMason PrattProvider/owner · (573) 358-7655
Enumeration DateJune 8, 2026
Last NPPES UpdateAugust 18, 2026
NPPES CertifiedAugust 18, 2026
✔ NPI 1639002728 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.
21 W SCHOOL ST, Bonne Terre, MO 63628

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Mjn Chiropractic LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Chiropractic
NPI 1407625429
21 W SCHOOL ST
Bonne Terre, MO 63628
(573) 358-7655
✔ Accepts MedicareSame address
Chiropractic
NPI 1639504855
12401 OLIVE BLVD
Creve Coeur, MO 63141
(314) 332-0469
✔ Accepts Medicare52 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 Mjn Chiropractic LLC's NPI number?

The NPI number for Mjn Chiropractic LLC is 1639002728. It was assigned to this organization in the NPPES registry on June 8, 2026.

Where is Mjn Chiropractic LLC located?

Mjn Chiropractic LLC is located at 21 W School St, Bonne Terre, MO 63628. The listed phone number is (573) 358-7655.

What is Mjn Chiropractic LLC's specialty?

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

Is Mjn Chiropractic LLC enrolled in Medicare?

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

How many clinicians bill Medicare through Mjn Chiropractic LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Chiropractic, reassign their Medicare billing to Mjn 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, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Mjn Chiropractic LLC was last updated on August 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.