Individual provider Active NPI

Dennis G James Jr., D.C.

  • Chiropractor
  • St Peters, MO
National Provider Identifier
1104811702
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
006803 Issued in MO
Practice address
3877 Veterans Memorial Pkwy
Suite 35
St Peters, MO 63376-6424
Phone
(636) 926-8858
Fax
(636) 922-1808
NPI assigned
Sep 20, 2005
Sex
Male
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 006803 MO Primary

Addresses

Primary practice location

3877 Veterans Memorial Pkwy
Suite 35
St Peters, MO 63376-6424

Mailing address

3877 Veterans Memorial Pkwy
Suite 35
St Peters, MO 63376-6424
Phone (636) 926-8858

Other identifiers 4

IdentifierTypeStateIssuer
448300OtherMOHEALTHLINK
142909OtherMOBLUE CROSS/BLUE SHIELD
44-00041OtherMOUNITED HEALTHCARE
120488OtherMOGHP

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040802000712 MO Practitioner - Chiropractic 0749251023 Practice locations: Saint Peters, MO

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dennis G. James, Jr., D.C., P.C. Chiropractor PastSince Jan 1, 1990 Accepting new patients

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": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104811702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3877 VETERANS MEMORIAL PKWY",
            "address_2": "SUITE 35",
            "city": "ST PETERS",
            "state": "MO",
            "postal_code": "633766424",
            "telephone_number": "636-926-8858",
            "fax_number": "636-922-1808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3877 VETERANS MEMORIAL PKWY",
            "address_2": "SUITE 35",
            "city": "ST PETERS",
            "state": "MO",
            "postal_code": "633766424",
            "telephone_number": "636-926-8858",
            "fax_number": "636-922-1808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMES",
        "first_name": "DENNIS",
        "middle_name": "G",
        "name_suffix": "Jr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "006803",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "448300",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "142909",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "44-00041",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHP",
            "identifier": "120488",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Peters, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.