EZELL CHIROPRACTIC
NPI 1982035440
Clinic/Center - Primary Care in Saint Charles, MO

Active since December 10, 2013CLIA 26D2184760 · Waiver
2201 1ST CAPITOL DR, SAINT CHARLES, MO 63301(636) 916-0660 Get Directions Write a Review

NPPES record last updated: September 14, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ezell Chiropractic NPPES

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

EZELL CHIROPRACTIC (NPI 1982035440) is a healthcare organization registered as a primary care in Saint Charles, Missouri and active in the NPI registry since December 2013. The organization holds a CLIA Waiver certificate valid through May 25, 2028 and lists Glenn R. Ezell, Owner/doctor, as its authorized official.

NPPES Registry Identity

NPI1982035440
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameEZELL CHIROPRACTIC LLC
Location Address2201 1ST CAPITOL DRSaint Charles, MO 63301-5805
Mailing Address2201 1st Capitol DrSaint Charles, MO 63301-5805 · (636) 916-0660
Organization SubpartNo
Authorized OfficialGlenn R. EzellOwner/doctor · (636) 916-0660
Enumeration DateDecember 10, 2013
Last NPPES UpdateSeptember 14, 2022
NPPES CertifiedSeptember 14, 2022
NPI 1982035440 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License Licensed in MO · 2013000467
Also ListedClinic/CenterTaxonomy 261Q00000X · License 2013000467 (MO)
2201 1ST CAPITOL DR, Saint Charles, MO 63301

Other Names 1

Doing Business AsEzell Chiropractic

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 26D2184760

Ezell Chiropractic · St Charles, MO
Active · expires May 25, 2028
CLIA Number26D2184760
Laboratory TypePractitioner Other
Certificate Effective DateMay 26, 2026
Certificate Expiration DateMay 25, 2028
Laboratory DirectorGlenn R. Ezell
Laboratory Phone(636) 485-6661
Laboratory LocationEzell Chiropractic2201 1st Capitol Drive, St Charles, MO 63301
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Medical Equipment Supplier Medicare DMEPOS

Medicare supplier enrollment and the product categories Abc Chiropractic carries, from the Medicare DMEPOS supplier directory.

Abc Chiropractic

DMEPOS supplier · Saint Charles, MOOperated by Ezell Chiropractic LLC

Does not accept Medicare assignment

Abc Chiropractic has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)26716354
Medicare Participant SinceNovember 13, 2013
Supplier Location2201 1st Capitol Dr Ste 101Saint Charles, MO 63301
Supplier Specialties
Medical Supply Company Other

Medicare Product Categories

Orthoses: Off-The-Shelf
Met pads, Heel pads, Heel spur pads
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Chiropractor
2201 1ST CAPITOL DR
SAINT CHARLES, MO 63301
Physical Therapist
2201 1ST CAPITOL DR
SAINT CHARLES, MO 63301

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 Ezell Chiropractic LLC's NPI number?

The NPI number for Ezell Chiropractic LLC is 1982035440. It was assigned to this organization in the NPPES registry on December 10, 2013. The provider is doing business as Ezell Chiropractic.

Where is Ezell Chiropractic LLC located?

Ezell Chiropractic LLC is located at 2201 1st Capitol Dr, Saint Charles, MO 63301. The listed phone number is (636) 916-0660.

What is Ezell Chiropractic LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Ezell Chiropractic LLC accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Abc Chiropractic does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.

Does Ezell Chiropractic LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D2184760) is associated with this NPI, valid through May 25, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Ezell Chiropractic LLC was last updated on September 14, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.