Individual provider Active NPI

Quinn Joseph James, D.C.

  • Chiropractor
  • Saint Peters, MO
National Provider Identifier
1003907064
Registry record updated Jan 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2000145882 Issued in MO
Practice address
4249 N Saint Peters Pkwy
Suite a
Saint Peters, MO 63304-7441
Phone
(636) 441-5554
Fax
(636) 441-2224
NPI assigned
Sep 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2000145882 MO Primary

Addresses

Primary practice location

4249 N Saint Peters Pkwy
Suite a
Saint Peters, MO 63304-7441

Mailing address

4249 N Saint Peters Pkwy
Suite a
Saint Peters, MO 63304-7441
Phone (636) 441-5554

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100324000770 MO Practitioner - Chiropractic 0446386833 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4249 N Saint Peters Pkwy
Suite a
Saint Peters, MO 63304-7442
Phone (636) 441-9240

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Charleston Square Chiropractic LLC Chiropractor CurrentSince Feb 2, 2000 Accepting new patients

Locations

4249 N Saint Peters Pkwy
Ste A
Saint Peters, MO 63304
Phone (636) 441-5554

4249 N Saint Peters Pkwy
Saint Peters, MO 63304
Phone (314) 239-1094

Networks

  • IA HMO C-SNP
  • devoted network organization-734447cc-691b-4aa7-a112-9c9c8698dcc9
  • devoted network organization-2b183dd2-4e80-4977-80a6-4fdf0df4361d
  • IA HMO
  • IL PPO Downstate
  • devoted network organization-27eb9117-6975-449a-a7ad-909243995ddc

Organizations & group practices 1

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": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294617600000",
    "number": "1003907064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4249 N SAINT PETERS PKWY",
            "address_2": "SUITE A",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633047441",
            "telephone_number": "636-441-5554",
            "fax_number": "636-441-2224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4249 N SAINT PETERS PKWY",
            "address_2": "SUITE A",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633047441",
            "telephone_number": "636-441-5554",
            "fax_number": "636-441-2224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMES",
        "first_name": "QUINN",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2011-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2000145882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Peters, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.