OrganizationActive
Kmo Wellness 1, LLC
NPI 1790391738 · Acupuncturist · Des Peres, MO
Kmo Wellness 1, LLC is a Acupuncturist organization in Des Peres, MO (NPI 1790391738).
Provider details
- NPI number
- 1790391738
- Entity type
- Organization
- Primary specialty
- AcupuncturistOther Service Providers
- Organization subpart
- No
- Authorized official
- Ryan Vanderpol, Franchise Owner(605) 376-8737
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
12133 Manchester Rd
Des Peres, MO 63131-4310
Phone: (605) 376-8737
Street-level locationGet directions
Mailing address
12133 Manchester Rd
Des Peres, MO 63131-4310
Other names (DBA / former)
- Doing business as
- Modern Acupuncture
- Doing business as
- Modern Acupuncture
Registry dates
- Enumerated
- 2020-09-16
- Last updated
- 2021-04-24
- Certified
- 2021-04-24
Frequently asked questions
- What is Kmo Wellness 1, LLC's NPI number?
- Kmo Wellness 1, LLC's National Provider Identifier (NPI) is 1790391738, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kmo Wellness 1, LLC?
- Kmo Wellness 1, LLC is classified in the NPPES registry as Acupuncturist (Other Service Providers).
- Where is Kmo Wellness 1, LLC located?
- Kmo Wellness 1, LLC's practice location on file with NPPES is 12133 Manchester Rd, Des Peres, MO 63131-4310.
- What is Kmo Wellness 1, LLC's phone number?
- The practice phone number listed in the NPPES registry for Kmo Wellness 1, LLC is (605) 376-8737.
- Who is the authorized official for Kmo Wellness 1, LLC?
- The authorized official listed on Kmo Wellness 1, LLC's NPPES record is Ryan Vanderpol, Franchise Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kmo Wellness 1, LLC's NPI active?
- Yes — Kmo Wellness 1, LLC's NPI (1790391738) is active in the NPPES registry as of the last update on 2021-04-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.