Organization Active NPI

Stephen J Costantino Chiropractic, PC

Doing business as Delmar Chiropractic

  • Chiropractor
  • University City, MO
National Provider Identifier
1073603783
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2002032139 Issued in MO
Legal business name
STEPHEN J COSTANTINO CHIROPRACTIC, PC
Doing business as
Delmar Chiropractic
Practice address
7171 Delmar Blvd
Suite 200
University City, MO 63130-4334
Phone
(314) 477-7473
NPI assigned
Oct 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Stephen Costantino, D.C.
Title
President
Phone
(314) 477-7473

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2002032139 MO Primary

Addresses

Primary practice location

7171 Delmar Blvd
Suite 200
University City, MO 63130-4334

Mailing address

7171 Delmar Blvd
Suite 200
University City, MO 63130-4334

Other names 1

  • Delmar Chiropractic Doing business as

National Provider Directory

National Provider Directory

Locations

7171 Delmar Blvd
Ste 200
University City, MO 63130
Phone (314) 477-7473

NPI Registry JSON

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073603783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7171 DELMAR BLVD",
            "address_2": "SUITE 200",
            "city": "UNIVERSITY CITY",
            "state": "MO",
            "postal_code": "631304334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7171 DELMAR BLVD",
            "address_2": "SUITE 200",
            "city": "UNIVERSITY CITY",
            "state": "MO",
            "postal_code": "631304334",
            "telephone_number": "314-477-7473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN J COSTANTINO CHIROPRACTIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COSTANTINO",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-477-7473",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2002032139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Delmar Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in University City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.