DR. CAMILLE MCCLENDON – Chiropractor, NPI 1649792540

DR. CAMILLE MCCLENDON is a healthcare provider. based in Saint louis, Missouri. specializing in CHIROPRACTIC. They hold a License No. 2017015798 (MO). The NPI Number for DR. CAMILLE MCCLENDON is 1649792540

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
DR. CAMILLE MCCLENDON
NPI
1649792540
Phone
(314) 849-4120
Address
9717 LANDMARK PARKWAY DR STE 216
Enumeration Date
12 July 2017
Last Update Date
12 July 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9726818321
Graduation Year
2017 (9 years ago)
PAC ID
9133659006
Group Practice PAC ID
4183969082
Professional Enrollment ID
I20250206002633
Address ID
TX751503800ME3334XBLVD502
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:8State licenses:1Digital endpointsOther names

1,129 CHIROPRACTIC in MO

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Provider Addresses for DR. CAMILLE MCCLENDON

  • Landmark Parkway Drive, Southwest Executive Center, Sunset Hills, Saint Louis County, Missouri, 63127, United States

    SAINT LOUIS, MO 631271633

    Phone: (314) 849-4120

    Type: Location

  • 5027, Aubert Avenue, Mark Twain, City of Saint Louis, Missouri, 63115, United States

    SAINT LOUIS, MO 631151804

    Phone:

    Type: Mailing

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: 2025-02-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20250206002633IChiropracticTXTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 63127)

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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: 4183969082View full group profile
NameSpecialtyState
C H I R O P R A C T I CTX
C H I R O P R A C T I CTX
C H I R O P R A C T I CTX
C H I R O P R A C T I CTX

Reviews

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Frequently asked questions

How is DR. CAMILLE MCCLENDON identified in CMS data?
CMS-hosted NPPES data lists DR. CAMILLE MCCLENDON with NPI 1649792540.
Is DR. CAMILLE MCCLENDON still practicing?
DR. CAMILLE MCCLENDON is currently listed as active in the public NPI registry.
What taxonomy line describes DR. CAMILLE MCCLENDON?
For research purposes, treat DR. CAMILLE MCCLENDON as Chiropractor in this dataset. Clinical services aligned with this taxonomy classification.
Where is DR. CAMILLE MCCLENDON based?
DR. CAMILLE MCCLENDON is tied to Saint Louis, Missouri in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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