Active NPI
Marc C Hubbard, DC
- Chiropractor
- Saint Louis, MO
National Provider Identifier
1023197324
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 005032ZE
- Practice address
- 504 N Euclid Ave
Saint Louis, MO 63108-1604 - Phone
- (314) 361-6400
- Fax
- (314) 361-2230
- NPI assigned
- Nov 6, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 005032ZE | MO | Primary |
Addresses
Primary practice location
504 N Euclid Ave
Saint Louis, MO 63108-1604
Mailing address
504 N Euclid Ave
Saint Louis, MO 63108-1604
Phone (314) 361-6400
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
| License | State | Type | Specialty |
|---|---|---|---|
| 005032ZE | MO | MD | Chiropractor |
| 005032 | MO | MD | Hand Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1355702400000",
"number": "1023197324",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "504 N EUCLID AVE",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631081604",
"telephone_number": "314-361-6400",
"fax_number": "314-361-2230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "504 N EUCLID AVE",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631081604",
"telephone_number": "314-361-6400",
"fax_number": "314-361-2230"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUBBARD",
"first_name": "MARC",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-06",
"last_updated": "2012-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MO",
"license": "005032ZE",
"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 Dec 17, 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.