Midwest Spine & Sport Chiropractic
NPI 1336460385 · Rehabilitation Chiropractor · O Fallon, IL
Midwest Spine & Sport Chiropractic is a Rehabilitation Chiropractor organization in O Fallon, IL (NPI 1336460385).
Provider details
- NPI number
- 1336460385
- Entity type
- Organization
- Primary specialty
- Rehabilitation ChiropractorChiropractic Providers
- Organization subpart
- No
- Authorized official
- Kristi Dieckmann, Owner(618) 973-5522
- License
- 038.011634 (IL)
Specialties & taxonomies
Chiropractic Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2010-06-14
- Last updated
- 2010-06-14
Frequently asked questions
- What is Midwest Spine & Sport Chiropractic's NPI number?
- Midwest Spine & Sport Chiropractic's National Provider Identifier (NPI) is 1336460385, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Midwest Spine & Sport Chiropractic?
- Midwest Spine & Sport Chiropractic is classified in the NPPES registry as Rehabilitation Chiropractor (Chiropractic Providers).
- Where is Midwest Spine & Sport Chiropractic located?
- Midwest Spine & Sport Chiropractic's practice location on file with NPPES is 1210 Paragon Dr, O Fallon, IL 62269-1773.
- What is Midwest Spine & Sport Chiropractic's phone number?
- The practice phone number listed in the NPPES registry for Midwest Spine & Sport Chiropractic is (618) 973-5522.
- Who is the authorized official for Midwest Spine & Sport Chiropractic?
- The authorized official listed on Midwest Spine & Sport Chiropractic's NPPES record is Kristi Dieckmann, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Midwest Spine & Sport Chiropractic's NPI active?
- Yes — Midwest Spine & Sport Chiropractic's NPI (1336460385) is active in the NPPES registry as of the last update on 2010-06-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.