Individual provider Active NPI

Danielle Angela Spath, DC

  • Chiropractor
  • Saint Louis, MO
National Provider Identifier
1003064551
Registry record updated Nov 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2008027067 Issued in MO
Practice address
8005 Mackenzie Rd
Saint Louis, MO 63123-3518
Phone
(314) 353-4500
Fax
(314) 353-4502
NPI assigned
Sep 8, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2008027067 MO Primary

Addresses

Primary practice location

8005 Mackenzie Rd
Saint Louis, MO 63123-3518

Mailing address

8005 Mackenzie Rd
Saint Louis, MO 63123-3518
Phone (314) 353-4500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2008027067MOMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Logan University Chiropractor PastSince Jun 1, 2005 Accepting new patients
Gray Family Chiropractic PLLC Chiropractor Past Accepting new patients
Browning Chiropractic Chiropractor Past Accepting new patients
Chiropractic Care & Sports Rehab, Inc. PastSince May 20, 2008 Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1220832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352937600000",
    "number": "1003064551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8005 MACKENZIE RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631233518",
            "telephone_number": "314-353-4500",
            "fax_number": "314-353-4502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8005 MACKENZIE RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631233518",
            "telephone_number": "314-353-4500",
            "fax_number": "314-353-4502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPATH",
        "first_name": "DANIELLE",
        "middle_name": "ANGELA",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-08",
        "last_updated": "2012-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2008027067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.