Individual provider Active NPI

Toni Maria Puzzo, DC

  • Chiropractor
  • St Charles, MO
National Provider Identifier
1023107331
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2000153531 Issued in MO
Practice address
71 Centre Pointe Dr
St Charles, MO 63304-8579
Phone
(636) 928-8664
Fax
(636) 928-8670
NPI assigned
Oct 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2000153531 MO Primary

Addresses

Primary practice location

71 Centre Pointe Dr
St Charles, MO 63304-8579

Mailing address

71 Centre Pointe Drive
St Charles, MO 63304-8579
Phone (636) 928-8664

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050524000641 MO Practitioner - Chiropractic 5799727368 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4231 N Saint Peters Pkwy
Saint Peters, MO 63304-7384
Phone (636) 928-8664

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2000153531MOMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Toni M Puzzo, DC, Inc. Chiropractor CurrentSince Jan 23, 2019 Accepting new patients
Eden Chiropractic and Wellness Center Chiropractor CurrentSince Jan 23, 2019 Accepting new patients

Locations

4231 N Saint Peters Pkwy
Saint Peters, MO 63304
Phone (636) 928-0311

Networks

  • devoted network organization-2b183dd2-4e80-4977-80a6-4fdf0df4361d
  • IA HMO C-SNP
  • IA HMO

Organizations & group practices 2

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": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023107331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 CENTRE POINTE DRIVE",
            "city": "ST CHARLES",
            "state": "MO",
            "postal_code": "633048579",
            "telephone_number": "636-928-8664",
            "fax_number": "636-928-8670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 CENTRE POINTE DR",
            "city": "ST CHARLES",
            "state": "MO",
            "postal_code": "633048579",
            "telephone_number": "636-928-8664",
            "fax_number": "636-928-8670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUZZO",
        "first_name": "TONI",
        "middle_name": "MARIA",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2000153531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Charles, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.