DR. EMILY J ODOM (D.C.) – Chiropractor, NPI 1275990780

DR. EMILY J ODOM (D.C.) is a healthcare provider. based in Trenton, Illinois. specializing in CHIROPRACTIC. They hold the professional credentials D.C.. They hold a License No. 2016000621 (MO). The NPI Number for DR. EMILY J ODOM (D.C.) is 1275990780

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
DR. EMILY J ODOM (D.C.)
NPI
1275990780
Phone
Not provided
Address
3420 HEAVENLY DR
Enumeration Date
28 January 2016
Last Update Date
17 July 2025

Doctor Profile

Medical School Name
LOGAN COLLEGE OF CHIROPRACTIC
Secondary Phone
6368256555
Graduation Year
2016 (10 years ago)
PAC ID
5496005472
Group Practice PAC ID
0547692071
Professional Enrollment ID
I20201218001494
Address ID
MO630262784FE1747XRDXX404
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness85
Years active:10State licenses:2Digital endpointsOther names

1,129 CHIROPRACTIC in MO

Provider Addresses for DR. EMILY J ODOM (D.C.)

  • 3420 HEAVENLY DR

    TRENTON, IL 622933534

    Phone:

    Type: Mailing

  • 1747 Smizer Station Rd Ste 4

    Fenton, MO 630262784

    Phone: (636) 825-6555

    Type: Location

  • 110 W SAINT LOUIS ST

    LEBANON, IL 622541559

    Phone: (618) 972-0905

    Type: Mailing

  • 729, Old Frontenac Square, Frontenac, Saint Louis County, Missouri, 63131, United States

    FRONTENAC, MO 631312745

    Phone: (314) 395-4934

    Type: Location

  • 4646 LEONA ST

    SAINT LOUIS, MO 631163429

    Phone: (618) 972-0905

    Type: Mailing

  • 1747 SMIZER STATION RD STE 4

    FENTON, MO 630262784

    Phone: (636) 825-6555

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-12-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180912003198IChiropracticILTBD
I20201218001494IChiropracticMOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
98941Chiropractic manipulative treatment, 3-4 spinal regions17716$0
View full utilization report →

Insurance plans in this area (ZIP 62293)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0547692071View full group profile
NameSpecialtyState
C H I R O P R A C T I CMO
C H I R O P R A C T I CMO
C H I R O P R A C T I CMO

Reviews

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Frequently asked questions

Can I use this page to confirm DR. EMILY J ODOM (D.C.)'s NPI?
Yes. DR. EMILY J ODOM (D.C.) is listed with NPI 1275990780 in the public NPI dataset.
Is DR. EMILY J ODOM (D.C.) listed as active for patients and plans?
The listing shows DR. EMILY J ODOM (D.C.) as active in the NPI system.
What taxonomy line describes DR. EMILY J ODOM (D.C.)?
For research purposes, treat DR. EMILY J ODOM (D.C.) as Chiropractor in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for DR. EMILY J ODOM (D.C.)?
DR. EMILY J ODOM (D.C.)'s geographic hint is Trenton, Illinois in our summary view.
Why does DR. EMILY J ODOM (D.C.) have multiple addresses?
7 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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