Dr. Jerry A Carpenter , DC
Chiropractor • Ballwin, MO
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Jerry Carpenter has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Jerry Carpenter, DC was a registered Chiropractor practicing in Ballwin, MO. Throughout an active medical career spanning 18 years, Dr. Carpenter provided care at the practice location at 910 KEHRS MILL RD until profile deactivation on 2025-10-09.
Practice Location & Contact Primary Location
910 Kehrs Mill Rd
Suite 102
Ballwin, MO 63011
Specialty Benchmarks & Practice Insights
Comparative analytics for Chiropractor in Ballwin, MO
Practicing in Ballwin, MO (2674 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 111N00000X
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.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on October 09, 2025
NPI status registered as active in NPPES database
Registered at 910 KEHRS MILL RD, SUITE 102, BALLWIN, MO 63011 (Tel: 6363911611)
Registered at 910 KEHRS MILL RD, SUITE 102, BALLWIN, MO 63011 (Tel: 6363911611)
Recorded as JERRY CARPENTER, DC
Chiropractor (License #4902 in MO)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
910 Kehrs Mill Rd, Suite 102
Ballwin, MO 63011
Phone: 6363911611
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