Active NPI
Justin Cosgrove, DC
- Chiropractor
- Washington, MO
National Provider Identifier
1245010743
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2023039645
- Practice address
- 1190 Jefferson St Ste 203
Washington, MO 63090-4443 - Phone
- (636) 359-4663
- NPI assigned
- Oct 2, 2023
- 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 | 2023039645 | MO | Primary |
Addresses
Primary practice location
1190 Jefferson St Ste 203
Washington, MO 63090-4443
Mailing address
1190 Jefferson St Ste 203
Washington, MO 63090-4443
Phone (636) 283-0328
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Western States College of Chiropractic, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1428 N State Hwy 47
Suite B
Warrenton, MO 63383-1375
Phone (636) 456-2966
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2023039645 | MO | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Steadfast Spine and Sports Medicine of Warrenton LLC | Current | Accepting new patients |
Locations
1428 N State Highway 47
Ste B
Warrenton, MO 63383
Phone (636) 456-1500
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.
-
- Clinic/Center
- Warrenton, MO
- NPI 1366283467
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1696204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705449600000",
"number": "1245010743",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1190 JEFFERSON ST STE 203",
"city": "WASHINGTON",
"state": "MO",
"postal_code": "630904443",
"telephone_number": "636-283-0328"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1190 JEFFERSON ST STE 203",
"city": "WASHINGTON",
"state": "MO",
"postal_code": "630904443",
"telephone_number": "636-359-4663"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COSGROVE",
"first_name": "JUSTIN",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-10-02",
"last_updated": "2024-01-17",
"certification_date": "2024-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MO",
"license": "2023039645",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Washington, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.