JAKE JOSEPH CROMWELL DC
NPI 1902689789
Chiropractor in Fenton, MO

Active since August 16, 2023
672D GRAVOIS BLUFFS BLVD # D, FENTON, MO 63026(636) 326-2525 Get Directions Write a Review

NPPES record last updated: August 16, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Jake Joseph Cromwell Dc NPPES

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

JAKE JOSEPH CROMWELL DC (NPI 1902689789) is an individual chiropractor in Fenton, Missouri, licensed in Missouri (2023032424) and active in the NPI registry since August 2023. He is a graduate of Logan College Of Chiropractic (2023).

NPPES Registry Identity

NPI1902689789
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameJAKE JOSEPH CROMWELLCredential: DC
Location Address672D GRAVOIS BLUFFS BLVD # DFenton, MO 63026-7714
Mailing Address672d Gravois Bluffs Blvd # DFenton, MO 63026-7714 · (636) 326-2525
Sole ProprietorYes
Medical School CMSLogan College Of ChiropracticGraduated 2023
Enumeration DateAugust 16, 2023
NPPES CertifiedAugust 16, 2023
NPI 1902689789 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in MO · 2023032424
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.
672D GRAVOIS BLUFFS BLVD # D, Fenton, MO 63026

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jake Joseph Cromwell Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6800242157
PECOS Enrollment IDI20231024001050

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.
307 services24 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 Jake Cromwell's NPI number?

The NPI number for Jake Cromwell is 1902689789. It was assigned to this individual provider in the NPPES registry on August 16, 2023.

Where is Jake Cromwell located?

Jake Cromwell practices at 672D Gravois Bluffs Blvd # D, Fenton, MO 63026. The listed phone number is (636) 326-2525.

What is Jake Cromwell's specialty?

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

Is Jake Cromwell enrolled in Medicare?

Yes. Jake Cromwell is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jake Cromwell was last updated on August 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.