MODERN ACUPUNCTURE
NPI 1790391738
Acupuncturist in Des Peres, MO

Active since September 16, 2020
12133 MANCHESTER RD, DES PERES, MO 63131(605) 376-8737 Get Directions Write a Review

NPPES record last updated: April 24, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 24, 2021, Sep 24, 2020, Sep 16, 2020 (3 updates tracked since 2020).

About Modern Acupuncture NPPES

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

MODERN ACUPUNCTURE (NPI 1790391738) is a healthcare organization registered as an acupuncturist in Des Peres, Missouri and active in the NPI registry since September 2020. The organization lists Ryan Vanderpol, Franchise Owner, as its authorized official.

NPPES Registry Identity

NPI1790391738
Entity TypeOrganization
Primary Taxonomy171100000X
Legal Business NameKMO WELLNESS 1, LLC
Location Address12133 MANCHESTER RDDes Peres, MO 63131-4310
Mailing Address12133 Manchester RdDes Peres, MO 63131-4310 · (605) 376-8737
Organization SubpartNo
Authorized OfficialRyan VanderpolFranchise Owner · (605) 376-8737
Enumeration DateSeptember 16, 2020
Last NPPES UpdateApril 24, 20213 updates tracked since enumeration
NPPES CertifiedApril 24, 2021
NPI 1790391738 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAcupuncturistOther Service Providers
Taxonomy Code171100000X
Definition
An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia.
12133 MANCHESTER RD, Des Peres, MO 63131

Other Names 1

Doing Business AsModern Acupuncture

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

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 Kmo Wellness 1, LLC's NPI number?

The NPI number for Kmo Wellness 1, LLC is 1790391738. It was assigned to this organization in the NPPES registry on September 16, 2020. The provider is doing business as Modern Acupuncture.

Where is Kmo Wellness 1, LLC located?

Kmo Wellness 1, LLC is located at 12133 Manchester Rd, Des Peres, MO 63131. The listed phone number is (605) 376-8737.

What is Kmo Wellness 1, LLC's specialty?

The primary specialty registered for this NPI is Acupuncturist with taxonomy code 171100000X.

When was this NPI record last updated?

The NPPES record for Kmo Wellness 1, LLC was last updated on April 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.